Columbia Presbyterian Medical Center, New York, NY, USA.
Psychiatr Q. 2012 Mar;83(1):75-82. doi: 10.1007/s11126-011-9184-0.
This study seeks to assess the educational value of an international psychiatry elective using a cross section of psychiatric residents. In 2010, a 10-item semi-structured questionnaire was administered to Mount Sinai psychiatric residents who have participated in the Global Health Residency Track of the Mount Sinai School of Medicine. Authors reviewed the qualitative data and arrived at a consensus regarding trends and deviations regarding residents' experiences of their international field work. Six residents participated in this study. Common themes included exposure to sicker, treatment-naïve patients in resource scarce conditions, enhancement of cross-cultural communications skills, renewed appreciation for psychiatry, empowerment as teachers, and greater awareness of health-care systems. Knowing that an international elective existed would be a significant factor in their choice of residency. Respondents had concerns for the sustainability. Participants felt that the elective was a place to consolidate skills already learned during residency and resulted in increased professional confidence although it did not necessarily alter career paths. International electives can enrich psychiatric residency training in terms of understanding of mental health care systems, cross cultural psychiatry, sharpening diagnostic skills, building professional confidence and communication skills, and reaffirming motivation to practice psychiatry.
本研究旨在评估精神病学国际选修课程对精神病住院医师的教育价值，采用了横断面研究设计。2010 年，对参加西奈山医学院全球健康住院医师培训项目的住院医师进行了一项 10 项的半结构式问卷调研。作者对定性数据进行了审查，并就住院医师国际实地工作经验的趋势和偏差达成了共识。共有 6 名住院医师参与了这项研究。常见的主题包括在资源匮乏的情况下接触到病情更严重、未经治疗的患者，提高跨文化交流技能，重新认识精神病学，作为教师的赋权，以及对医疗保健系统的更多了解。知道有国际选修课程的存在将是他们选择住院医师的一个重要因素。受访者对可持续性存在担忧。参与者认为，该选修课程是一个巩固在住院医师培训期间已经学到的技能的地方，尽管它不一定改变职业道路，但增加了专业信心。国际选修课程可以丰富精神病学住院医师培训，使他们更好地了解精神卫生保健系统、跨文化精神病学、提高诊断技能、建立专业信心和沟通技巧，并重新确认从事精神病学工作的动力。
