Narasimhan Seshasayee, Ranchord Anil, Weatherall Mark
Department of Internal Medicine, Wellington Hospital, Wellington.
N Z Med J. 2006 Jun 23;119(1236):U2027.
To determine the opinion of New Zealand doctors and nurses on the possible training needs of international medical graduates (IMGS) in New Zealand hospitals.
A postal questionnaire sent to hospital doctors and nurses.
All doctors working at Wellington, Kenepuru, and Hutt Hospitals in the greater Wellington region, and nurses working in acute medical wards at the same hospitals, were asked to complete a questionnaire based on the Northern Clinical Training Network and Capital Coast District Health Board resident medical officer assessment forms regarding an overseas-trained doctor they had worked with in the last year.
The response rate for the doctor's questionnaires was 68/174 (39.1%), with 51 of these from New Zealand doctors rating an international medical graduate. The response rate for the nurses was 58/60 (96.7%). Areas where the median score of the questionnaire was unsatisfactory (less than three out of five on an ordinal scale rating performance) were clinical documentation; communication with patients, families, and other health professionals; knowledge of hospital policies and procedures, and medicolegal matters; and some aspects of patient management. There was no difference in median ratings between doctors and nurses.
More specific training may improve the performance of overseas-trained doctors in the New Zealand health system. A further study of the perceived needs of the overseas-trained doctors themselves may be useful.
确定新西兰医生和护士对国际医学毕业生（IMGs）在新西兰医院可能的培训需求的看法。
向医院医生和护士发送邮政调查问卷。
要求在大惠灵顿地区的惠灵顿、凯内普鲁和赫特医院工作的所有医生，以及在同一家医院的急性内科病房工作的护士，根据北方临床培训网络和首都海岸地区卫生委员会住院医评估表，填写一份关于他们在过去一年中与之共事的海外培训医生的问卷。
医生问卷的回复率为68/174（39.1%），其中51份来自对国际医学毕业生进行评分的新西兰医生。护士的回复率为58/60（96.7%）。问卷中位数得分不满意的领域（在评估表现的序数量表上低于五分之三）包括临床文件记录；与患者、家属和其他卫生专业人员的沟通；医院政策和程序以及法医学事项的知识；以及患者管理的某些方面。医生和护士的中位数评分没有差异。
更具针对性的培训可能会提高海外培训医生在新西兰卫生系统中的表现。对海外培训医生自身感知需求的进一步研究可能会有所帮助。
