Dey Chayan C, Grabowski Jurek G, Gebreyes Kulleni, Hsu Edbert, VanRooyen Michael J
Johns Hopkins University, Department of Emergency Medicine, Center for International Emergency, Disaster, and Refugee Studies, Baltimore, MD 21205, USA.
Acad Emerg Med. 2002 Jul;9(7):679-83. doi: 10.1111/j.1553-2712.2002.tb02145.x.
In the last several years, there has been increasing interest in international emergency medicine (IEM) programs. A number of residency programs offer or encourage international opportunities during residency. The purpose of this study was twofold: 1) to determine whether the availability of international opportunities during residency affected the ranking of emergency medicine (EM) residency programs by graduating medical students and 2) to determine whether prior international health experience among medical students influences interviewing and ranking of residency programs with international opportunities.
An eight-question survey measuring interest in IEM and its effect on ranking of programs was mailed to all 1,205 first-year EM residents from 122 accredited allopathic EM residency programs in the United States. International opportunities were defined as any program that offered an international elective during residency or had an IEM fellowship. Data were analyzed using descriptive statistics and chi-square tests.
Of the 1,205 mailed surveys, 34% were returned by the first-year residents. Of all respondents, 281/408 (69%) interviewed at programs with international opportunities. Study findings revealed 62% (164/264) of the students who interviewed at programs with international opportunities considered the availability of international opportunities a positive factor in ranking residency programs. Analysis revealed that applicants with previous international health experience, 68% (104/152), were more likely to rank EM residency programs with international opportunities higher than those that did not.
This study suggests that the availability of international opportunities during residency positively affected residency ranking. This relationship was stronger in medical students with prior international health experience.
在过去几年中，人们对国际急诊医学（IEM）项目的兴趣日益浓厚。许多住院医师培训项目在住院医师培训期间提供或鼓励国际交流机会。本研究的目的有两个：1）确定住院医师培训期间国际交流机会的可获得性是否会影响医学毕业生对急诊医学（EM）住院医师培训项目的排名；2）确定医学生以前的国际健康经历是否会影响对有国际交流机会的住院医师培训项目的面试和排名。
向美国122个经认可的opathic EM住院医师培训项目的所有1205名一年级EM住院医师邮寄了一份包含八个问题的调查问卷，以测量对IEM的兴趣及其对项目排名的影响。国际交流机会被定义为在住院医师培训期间提供国际选修课程或设有IEM奖学金的任何项目。使用描述性统计和卡方检验对数据进行分析。
在1205份邮寄的调查问卷中，34%由一年级住院医师回复。在所有受访者中，281/408（69%）在有国际交流机会的项目中参加了面试。研究结果显示，在有国际交流机会的项目中参加面试的学生中有62%（164/264）认为国际交流机会的可获得性是住院医师培训项目排名的一个积极因素。分析表明，有过国际健康经历的申请者中有68%（104/152）比没有这种经历的申请者更有可能将有国际交流机会的EM住院医师培训项目排在更高的位置。
本研究表明，住院医师培训期间国际交流机会的可获得性对住院医师培训项目的排名有积极影响。这种关系在有过国际健康经历的医学生中更为明显。
