Division of Global Pediatrics, University of Minnesota, 717 Delaware Street,SE Room 365, Mail Code 1932, Minneapolis, MN 55414, USA.
Acad Pediatr. 2012 May-Jun;12(3):245-50. doi: 10.1016/j.acap.2012.02.009. Epub 2012 Apr 6.
Globally competent pediatricians are in demand because of the increasing numbers of children from immigrant families living in the United States and the shortages of health care workers in low-income countries where the majority of the worlds' children live. This study sought to better understand the educational outcomes of international electives taken by pediatric residents training in global health.
Thirty-two pediatric residents who participated in an international elective as part of a global health curriculum completed reflective essays which were analyzed for themes from 2006 to 2010. During the first-order analysis, the emergent themes mapped to the Accreditation Council for Graduate Medical Education (ACGME) competencies. In response, a second-order analysis re-examined the essays with an additional researcher to support categorization consistent with the ACGME competencies.
More than 90% of essays described experiences related to medical knowledge, patient care and systems-based practice. More than 50% included reflections on practice-based learning and improvement, professionalism, and interpersonal and communication skills. Residents also described the impact on their personal and professional development.
International electives can provide educational opportunities for residents to develop competency in each of the 6 ACGME domains and to reevaluate their life purpose and career goals. In addition to opportunities to increase their medical knowledge, patient care and communication skills, residents find international electives rich learning environments for systems-based practice, practice-based learning/improvement, and professionalism, domains that can be challenging to teach. These findings support the importance of international electives in global health in meeting core requirements in residency training.
由于越来越多来自移民家庭的儿童生活在美国，而大多数儿童居住的低收入国家的医疗保健工作者短缺，因此全球需要有能力的儿科医生。本研究旨在更好地了解接受全球健康培训的儿科住院医师参加国际选修课程的教育成果。
2006 年至 2010 年期间，32 名参加国际选修课程的儿科住院医师作为全球健康课程的一部分完成了反思性文章，对这些文章进行了主题分析。在一阶分析中，新兴主题映射到研究生医学教育认证委员会（ACGME）的能力。作为回应，第二级分析重新检查了论文，并增加了一名研究人员，以支持与 ACGME 能力一致的分类。
超过 90％的文章描述了与医学知识、患者护理和基于系统的实践相关的经验。超过 50％的文章包括对基于实践的学习和改进、专业精神以及人际和沟通技巧的反思。住院医师还描述了对其个人和职业发展的影响。
国际选修课程可为住院医师提供发展每个 ACGME 领域能力的教育机会，并重新评估其生活目标和职业目标。除了增加医学知识、患者护理和沟通技巧的机会外，住院医师还发现国际选修课程是基于系统的实践、基于实践的学习/改进和专业精神的丰富学习环境，这些领域的教学具有挑战性。这些发现支持国际选修课程在全球健康领域的重要性，以满足住院医师培训的核心要求。
