Dept. of Psychiatry, University Health Network & University of Toronto, Toronto, Ontario, Canada.
Acad Psychiatry. 2012 Jul 1;36(4):277-81. doi: 10.1176/appi.ap.09110219.
Despite the growing number of international medical graduates (IMGs) training in medicine in Canada and the United States, IMG-specific challenges early in psychiatry residency have not been fully explored. Therefore, the authors conducted a needs-assessment survey to determine the needs of IMGs transitioning into psychiatry residency.
Using a 15-item online questionnaire, authors conducted a needs-assessment of IMG residents in five Canadian psychiatry residency programs. The survey examined IMGs' perceived difficulties with the transition into psychiatry residency, educational needs, and demographic data. Data were analyzed with descriptive statistics and Mann-Whitney tests.
IMGs identified the following difficulties with their transition into residency: understanding the healthcare system, medical documentation, and evidence-based medicine/mental health. Language barriers and social isolation were significant factors affecting the transition into residency for residents who did not speak English as their first language. Residents who lived in Canada 12 months or less had greater perceived difficulties in psychotherapy knowledge and adapting to the Canadian healthcare system; 88% of IMGs reported having little-or-no IMG-specific preparation for psychiatry residency from their psychiatry program; however, 69% reported that they would use IMG resources if offered; 63% felt that faculty in their program should undergo training to assist with IMG transition.
Several perceived challenges, needs, and gaps in training were reported by IMGs in Canadian psychiatry residency programs. The results of this survey will be used to inform future curriculum development to facilitate IMG transition into psychiatry postgraduate training programs.
尽管越来越多的国际医学毕业生（IMG）在加拿大和美国接受医学培训，但在精神病学住院医师培训的早期，IMG 特有的挑战尚未得到充分探索。因此，作者进行了一项需求评估调查，以确定过渡到精神病学住院医师培训的 IMG 的需求。
作者使用 15 项在线问卷，对加拿大五家精神病学住院医师培训计划中的 IMG 住院医师进行了需求评估。该调查检查了 IMG 对过渡到精神病学住院医师培训的感知困难、教育需求和人口统计数据。使用描述性统计和 Mann-Whitney 检验分析数据。
IMG 确定了他们在过渡到住院医师培训中遇到的以下困难：理解医疗保健系统、医疗文件和循证医学/心理健康。对于不以英语为第一语言的居民，语言障碍和社会孤立是影响他们过渡到住院医师培训的重要因素。在加拿大居住 12 个月或更短时间的居民在心理治疗知识和适应加拿大医疗保健系统方面遇到更大的困难；88%的 IMG 报告说，他们的精神病学项目几乎没有或没有针对精神病学住院医师培训的 IMG 特定准备；然而，69%的人表示，如果提供，他们将使用 IMG 资源；63%的人认为他们所在项目的教师应该接受培训，以帮助 IMG 过渡。
加拿大精神病学住院医师培训计划中的 IMG 报告了一些感知到的挑战、需求和培训差距。本调查的结果将用于为未来的课程开发提供信息，以促进 IMG 过渡到精神病学研究生培训计划。
