University of California, San Diego, Department of Psychiatry, 9500 Gilman Drive, #9116-A, La Jolla, CA 92093, USA.
Acad Psychiatry. 2010 Sep-Oct;34(5):361-8. doi: 10.1176/appi.ap.34.5.361.
Currently in the United States, more than one in three psychiatric residents are international medical graduates (IMGs). In light of forecasts of physician shortages, this proportion is likely to continue growing. Although central to psychiatric care, sexual health competence levels of IMGs may be lower than those of U.S. graduates.
The authors conducted a nonsystematic review of the literature and online data to establish the learning needs of IMGs in this area.
Data on five areas are summarized: demographic and sociocultural data of IMGs in the United States; the need for sexual medicine competence for practicing psychiatrists; how sexual health is currently taught in foreign medical schools; attitudes toward sexuality and sexual problems among physicians and patients of different cultures; and the management of sexual issues, including sexual boundaries, by IMGs.
The authors found evidence suggesting that IMGs from areas most culturally dissimilar to the United States are likely to benefit from sexual medicine curricula in the context of cultural competence training. The diversity and resilience of IMGs are emphasized. Implications for immediate training and future research are outlined.
目前，美国超过三分之一的精神科住院医师是国际医学毕业生（IMG）。鉴于医生短缺的预测，这一比例可能会继续上升。尽管性健康是精神科护理的核心内容，但 IMG 的性健康能力水平可能低于美国毕业生。
作者对文献和在线数据进行了非系统性综述，以确定 IMG 在这一领域的学习需求。
总结了五个方面的数据：美国 IMG 的人口统计学和社会文化数据；执业精神科医生对性医学能力的需求；目前外国医学院如何教授性健康；不同文化背景的医生和患者的性态度和性问题；以及 IMG 对性问题的管理，包括性边界。
作者发现有证据表明，与美国文化差异最大的 IMG 可能受益于文化能力培训背景下的性医学课程。强调了 IMG 的多样性和适应能力。概述了对即时培训和未来研究的影响。
