通过为来访的医学研究生提供结构化的实践经验，促进全球卫生伙伴关系中的互惠互利。
Fostering reciprocity in global health partnerships through a structured, hands-on experience for visiting postgraduate medical trainees.
作者信息
Umoren Rachel A, Einterz Robert M, Litzelman Debra K, Pettigrew Ronald K, Ayaya Samuel O, Liechty Edward A
出版信息
J Grad Med Educ. 2014 Jun;6(2):320-5. doi: 10.4300/JGME-D-13-00247.1.
BACKGROUND
Global health programs that allow international experiences for US learners should also enable reciprocal learning experiences for international learners, particularly if that is a need identified by the partner institution.
METHODS
A partnership between Indiana University and Moi University, Kenya, has successfully hosted 41 visiting Kenyan internal medicine and pediatrics registrars at Indiana University since 2006. The program's logistics, curriculum, and evaluation are described.
RESULTS
The registrars rotated through nephrology, cardiology, hematology and oncology, infectious diseases, and intensive care, as well as related ambulatory experiences, functioning on a level comparable to fourth-year medical students. They showed significant improvement in pretest and posttest scores on a standardized National Board of Medical Examiners examination (P = .048). International learners experienced culture shock, yet they felt the Indiana University elective was helpful and would recommend it to future participants.
CONCLUSIONS
Global health programs can reciprocate the benefits derived for US students and residents by offering learning experiences to international learners if that is an expressed need from the international partner. Barriers to those experiences can be overcome, and the hands-on, elective experience has the potential to positively affect the knowledge and attitudes of participants as well as the home nation.
背景
允许美国学习者获得国际经验的全球健康项目，也应为国际学习者提供对等的学习体验，尤其是在合作伙伴机构提出这一需求的情况下。
方法
自2006年以来，印第安纳大学与肯尼亚的莫伊大学建立了合作伙伴关系，成功接待了41名来访的肯尼亚内科和儿科住院医师在印第安纳大学学习。本文描述了该项目的后勤安排、课程设置和评估情况。
结果
这些住院医师轮转学习了肾病学、心脏病学、血液学和肿瘤学、传染病学以及重症监护等领域，还参与了相关的门诊实习，其表现与四年级医学生相当。在标准化的美国医学考试委员会考试中，他们的预测试和后测试成绩有显著提高（P = 0.048）。国际学习者经历了文化冲击，但他们认为在印第安纳大学的选修课程很有帮助，并会向未来的参与者推荐。
结论
如果国际合作伙伴有明确需求，全球健康项目可以通过为国际学习者提供学习体验，让美国学生和住院医师获得对等的益处。这些体验的障碍是可以克服的，这种实践型的选修体验有可能对参与者及其祖国的知识和态度产生积极影响。
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