University of South Alabama , USA.
Med Teach. 2013 Oct;35(10):815-9. doi: 10.3109/0142159X.2013.802297. Epub 2013 Jun 11.
In the United States (U.S.), international medical graduates (IMGs) and American medical graduates (AMGs) confront work-related and adjustment challenges during post-graduate year one (PGY-1) of residency.
To understand the challenges that IMGs and AMGs confronted during PGY-1 of a U.S. pediatric residency program from the perspective of the residents themselves.
A purposive sample of PGY-1, PGY-2, and PGY-3 residents participated in three semi-structured focus groups (N = 18). The data were analyzed inductively using a grounded theory approach to identify and verify emergent themes.
IMGs confronted work-related and adjustment challenges during PGY-1 that included practicing medicine in the U.S., communicating with medical supervisors and nursing staff, communicating with patients, and relocating to the U.S. AMGs confronted work-related challenges that included medical decision-making and medical licensing.
The work-related and adjustment challenges that IMGs and AMGs confronted during PGY-1 suggest that the culture of residency socializes IMGs and AMGs regarding professional expectations and responsibilities. Increased awareness of this socialization process among residency program directors, and interventions based on concrete recommendations, can help enhance PGY-1 for IMGs and AMGs across the medical specialties.
在美国，国际医学毕业生（IMGs）和美国医学毕业生（AMGs）在住院医师规范化培训的第一年（PGY-1）会面临与工作相关和适应方面的挑战。
从住院医师自身的角度了解 IMGs 和 AMGs 在 PGY-1 期间所面临的挑战。
对 PGY-1、PGY-2 和 PGY-3 的住院医师进行了有针对性的抽样，他们参加了三个半结构化焦点小组（N=18）。采用扎根理论方法对数据进行了归纳分析，以确定和验证出现的主题。
IMGs 在 PGY-1 期间面临与工作相关和适应方面的挑战，包括在美国行医、与医疗监督和护理人员沟通、与患者沟通以及搬迁到美国。AMGs 在 PGY-1 期间面临与工作相关的挑战，包括医疗决策和医疗许可。
IMGs 和 AMGs 在 PGY-1 期间所面临的工作相关和适应方面的挑战表明，住院医师规范化培训的文化使 IMGs 和 AMGs 了解了专业期望和责任。住院医师规范化培训项目主管对这一社会化过程的认识提高，以及基于具体建议的干预措施，可以帮助提高各个医学专业的 IMGs 和 AMGs 的 PGY-1 水平。
