Tupesis Janis P, Babcock Christine, Char Doug, Alagappan Kumar, Hexom Braden, Kapur G Bobby
Section of Emergency Medicine, Baylor College of Medicine, One Baylor Plaza, Suite 134 MS:BCM311, Houston, TX, 77030, USA.
Int J Emerg Med. 2012 Nov 13;5(1):43. doi: 10.1186/1865-1380-5-43.
An increasing number of emergency medicine (EM) residency training programs have residents interested in participating in clinical rotations in other countries. However, the policies that each individual training program applies to this process are different. To our knowledge, little has been done in the standardization of these experiences to help EM residency programs with the evaluation, administration and implementation of a successful global health clinical elective experience. The objective of this project was to assess the current status of EM global health electives at residency training programs and to establish recommendations from educators in EM on the best methodology to implement successful global health electives.
During the 2011 Council of Emergency Medicine Residency Directors (CORD) Academic Assembly, participants met to address this issue in a mediated discussion session and working group. Session participants examined data previously obtained via the CORD online listserve, discussed best practices in global health applications, evaluations and partnerships, and explored possible solutions to some of the challenges. In addition a survey was sent to CORD members prior to the 2011 Academic Assembly to evaluate the resources and processes for EM residents' global experiences.
Recommendations included creating a global health working group within the organization, optimizing a clearinghouse of elective opportunities for residents and standardizing elective application materials, site evaluations and resident assessment/feedback methods. The survey showed that 71.4% of respondents have global health partnerships and electives. However, only 36.7% of programs require pre-departure training, and only 20% have formal competency requirements for these global health electives.
A large number of EM training programs have global health experiences available, but these electives and the trainees may benefit from additional institutional support and formalized structure.
越来越多的急诊医学（EM）住院医师培训项目中有住院医师希望参与其他国家的临床轮转。然而，每个培训项目针对这一过程所采用的政策各不相同。据我们所知，在将这些经历标准化以帮助急诊医学住院医师培训项目评估、管理和实施成功的全球健康临床选修经历方面，几乎没有开展什么工作。本项目的目的是评估住院医师培训项目中急诊医学全球健康选修课程的现状，并就实施成功的全球健康选修课程的最佳方法，征求急诊医学教育工作者的建议。
在2011年急诊医学住院医师主任委员会（CORD）学术大会期间，与会者在一个调解讨论会议和工作组中共同探讨了这个问题。会议参与者审查了之前通过CORD在线邮件列表获得的数据，讨论了全球健康应用、评估和合作关系方面的最佳实践，并探讨了应对一些挑战的可能解决方案。此外，在2011年学术大会召开之前，向CORD成员发送了一份调查问卷，以评估急诊医学住院医师全球经历的资源和流程情况。
建议包括在该组织内设立一个全球健康工作组，优化为住院医师提供的选修机会信息中心，并使选修申请材料、实地评估以及住院医师评估/反馈方法标准化。调查显示，71.4%的受访者拥有全球健康合作关系和选修课程。然而，只有36.7%的项目要求进行出发前培训，只有20%的项目对这些全球健康选修课程有正式的能力要求。
大量的急诊医学培训项目提供全球健康经历，但这些选修课程和学员可能会从更多的机构支持和正规化结构中受益。
