A program for successful integration of international medical graduates (IMGs) into U.S. surgical residency training.
A program for successful integration of international medical graduates (IMGs) into U.S. surgical residency training.
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DOI：
10.1016/j.cursur.2004.06.011
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发表时间：
2004-09-01
期刊：
影响因子：
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通讯作者：
Pellegrini, Carlos
中科院分区：
文献类型：
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作者：
Horvath, Karen;Coluccio, Gina;Pellegrini, Carlos
目的：美国外科住院医师项目传统上吸引了国际医学毕业生（IMG）。然而，国际管理集团的资格和业绩是可变的，难以预测。表现不佳会对患者护理、住院医师计划和IMG产生负面影响。我们试图找出导致表现不佳的原因，并制定一个程序，以确定那些有机会成功。设计：纵向研究。回顾性分析。地点：华盛顿大学，一家三级护理教学医院。参与者：回顾前IMG住院医师的表现，以确定最常见的失败原因。2002年8月，我们开发了一个IMG证书课程，将IMG纳入正式的8周临床经验，职责，责任和评估类似于四年级医学生。最终的全球得分是作为一个居民在我们的program.RESULTS的成功潜力：在过去的IMG居民表现不佳可归因于：凭证问题和表现不佳。绩效问题进一步细分为知识问题和个人/文化问题。自2002年8月以来，我们的证书课程招收了15名IMG。14人毕业，10人获得了我们项目的初步职位：4人是成功的实习生，1人返回意大利，5人将于2004年开始工作。其中一人参加了2004年的麻醉学比赛，另一人被建议不要成为美国项目的候选人。三个有高于平均水平的表现，被认为是更适合一个较小的计划（1-2家医院）。平均“成功潜力”全球得分为3.9（所有毕业生），4.6（现任实习生），1.0结论：我们开发了一个项目，为IMG提供了一个为期8周的临床经验，在一个忙碌的美国培训计划;它为他们提供了足够的经验，成功地融入美国居留权，并确定那些更有机会成功的人。该计划的广泛应用和项目主管之间的信息交流可以促进IMG的招聘和成功完成培训，并提供在美国填补关键职位所需的居民人数。
OBJECTIVE: U.S. surgery residency programs have traditionally attracted international medical graduates (IMGs). However, the qualifications and performance of IMGs are variable and difficult to predict. Poor performance negatively affects patient care, the residency program, and the IMGs. We sought to identify causes of poor performance and to develop a program to identify those with chances to succeed.DESIGN: Longitudinal study. Retrospective analysis. Description of a new program.SETTING: University of Washington, a tertiary care teaching hospital.PARTICIPANTS: Performance of former IMG residents was reviewed to define the most common reasons for failure. In August 2002, we developed an IMG Certificate Program that enrolls IMGs into a formal 8-week clinical experience with duties, responsibilities, and evaluations similar to fourth-year medical students. A final global score is given for potential for success as a resident in our program.RESULTS: Poor performance in past IMG residents could be attributed to: credential problems and poor performance. Performance problems were further subdivided to include knowledge issues and personal/cultural issues. Since August 2002, our Certificate Program enrolled 15 IMGs. Fourteen graduated, and 10 were offered preliminary spots in our program: 4 are successful interns, 1 returned to Italy, and 5 will start in 2004. One entered the 2004 match in Anesthesiology, and 1 was counseled to not be a candidate for a U.S. program. Three had above average performance and were felt to be better suited to a smaller program (1-2 hospitals). The mean "potential for success" global score was 3.9 (all grads), 4.6 (current interns), 1.0 (nongraduate), and 3.0 for the above average performers better suited to a smaller U.S. program.CONCLUSIONS: We developed a program that provides IMGs an 8-week clinical experience in a busy U.S. training program; it provides them with enough experience to successfully integrate into a U.S. residency and identifies those with better chances to succeed. Wide application of this program and exchange of information among program directors may facilitate recruitment and the successful completion of training of IMGs and provide the number of residents needed to fill critical positions in the United States.