Department of Psychiatry and Behavioral, University of Texas Health Sciences Center. Houston, Texas 77054, USA.
Acad Psychiatry. 2011 Jan-Feb;35(1):21-6. doi: 10.1176/appi.ap.35.1.21.
the authors investigated whether social support and acculturation could predict the mental health of international medical graduates pursuing psychiatric residencies in the United States.
a 55-item online survey was assembled by combining three validated instruments for mental health, social support, and acculturation. A link to the survey was e-mailed to training directors of all psychiatric residency and fellowship programs. Directors were requested to forward the survey to their international medical graduate residents for completion between December 2008 and February 2009.
one hundred eight international medical graduates from 70 different psychiatric residencies and fellowships completed the entire survey. Respondents' mental health scores were normally distributed. The vast majority scored very high on survey items related to mental health. Acculturation, social support, and postgraduate training year were significant predictors of mental health.
residency training programs should attempt to incorporate measures that would help boost the social support and acculturation of international medical graduates (especially junior-level trainees). Acculturation could be improved by language training and courses in American history, culture, and customs, and social support could be expanded by mentoring relationships.
作者研究社会支持和文化适应是否可以预测在美国攻读精神病学住院医师的国际医学毕业生的心理健康。
通过结合三种经过验证的心理健康、社会支持和文化适应的量表，编制了一份 55 项的在线调查。将调查链接发送给所有精神病学住院医师和研究员项目的培训主任。主任们被要求将调查转发给他们的国际医学研究生完成，完成时间为 2008 年 12 月至 2009 年 2 月。
来自 70 个不同精神病学住院医师和研究员项目的 108 名国际医学毕业生完成了整个调查。受访者的心理健康评分呈正态分布。绝大多数受访者在与心理健康相关的调查项目中得分非常高。文化适应、社会支持和研究生培训年限是心理健康的显著预测因素。
住院医师培训项目应尝试采取措施，帮助提高国际医学毕业生（尤其是初级培训生）的社会支持和文化适应。语言培训和美国历史、文化和习俗课程可以提高文化适应能力，导师关系可以扩大社会支持。
