Professional challenges of non-U.S.-born international medical graduates and recommendations for support during residency training.
Professional challenges of non-U.S.-born international medical graduates and recommendations for support during residency training.
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DOI：
10.1097/acm.0b013e31823035e1
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发表时间：
2011-11
期刊：
影响因子：
--
通讯作者：
Nunez-Smith M
中科院分区：
文献类型：
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作者：
Chen PG;Curry LA;Bernheim SM;Berg D;Gozu A;Nunez-Smith M
尽管国际医学毕业生(IMG)来美国实习的历史由来已久，但在这一脆弱的过渡期间，很少有人研究如何找到系统的方法来支持IMG。作者采访了一组不同的IMG，以确定可能通过住院医师培训结构内提供的有针对性的干预来缓解的挑战。在2008年3月至2009年4月进行的一项定性研究中，作者联系了27名非美国出生的IMG，目的是进行有目的的样本的定性访谈。作者使用标准化的采访指南进行了面对面的深入采访，并进行了潜在的调查。所有参与者都是纽约、新泽西或康涅狄格州的初级保健从业者。共有25个IMG(93%)参与。访谈和随后的分析产生了四个主题，突出了IMG面临的挑战：(1)受访者必须同时通过作为移民和居民的对偶学习曲线，(2)IMG在工作场所面临冷漠和孤立，(3)IMG的迁移具有个人和全球成本，以及(4)IMG在准备完成驻院培训时面临特定需求。作者使用这些主题向培训IMG的驻院主任提供建议。驻院期间是职业身份和行为的关键要素确立的时期。IMG是医生队伍中一个重要且不断增长的部分。了解这一群体面临的特殊挑战有助于在研究生培训期间加强对他们的支持。
Despite a long history of international medical graduates (IMGs) coming to the United States for residencies, little research has been done to find systematic ways in which residency programs can support IMGs during this vulnerable transition. The authors interviewed a diverse group of IMGs to identify challenges that might be eased by targeted interventions provided within the structure of residency training. In a qualitative study conducted between March 2008 and April 2009, the authors contacted 27 non-U.S.-born IMGs with the goal of conducting qualitative interviews with a purposeful sample. The authors conducted in-person, in-depth interviews using a standardized interview guide with potential probes. All participants were primary care practitioners in New York, New Jersey, or Connecticut. A total of 25 IMGs (93%) participated. Interviews and subsequent analysis produced four themes that highlight challenges faced by IMGs: (1) Respondents must simultaneously navigate dual learning curves as immigrants and as residents, (2) IMGs face insensitivity and isolation in the workplace, (3) IMGs’ migration has personal and global costs, and (4) IMGs face specific needs as they prepare to complete their residency training. The authors used these themes to inform recommendations to residency directors who train IMGs. Residency is a period in which key elements of professional identity and behavior are established. IMGs are a significant and growing segment of the physician workforce. Understanding particular challenges faced by this group can inform efforts to strengthen support for them during postgraduate training.