Dominguez-Rosado Ismael, Moutinho Vitor, DeMatteo Ronald P, Kingham T Peter, D'Angelica Michael, Brennan Murray F
Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
J Am Coll Surg. 2016 May;222(5):961-6. doi: 10.1016/j.jamcollsurg.2016.01.049. Epub 2016 Mar 16.
Training of foreign medical graduates in surgical oncology is an undervalued intervention for improving global cancer care. The aim of this work was to describe the design and results of a clinical training program for international surgeons from a single comprehensive cancer center.
Of 39 international fellows trained during 20 years, 34 were surveyed about education, research, and current context of surgical practice. A citation and H-index calculation (ie h number of publications that each has at least h citations) was performed to assess scientific productivity of each graduated fellow.
Twenty-one of 39 (54%) fellows came from countries in which English is not the primary language. Europe was the continent with the most graduates (17 of 39 [43%]), and only 5 of 39 (13%) were from Latin America. Three of 39 (8%) were women. Thirty-one of 39 graduated fellows (80%) returned to their countries of origin. The survey response rate was 73% (25 of 34). Seventeen of twenty-five (68%) work in an academic setting and 13 (52%) reported surgical oncology as their main clinical practice. Total number of citations and H-index are homogeneous among the different regions from which the fellows originated, with a median of 165 citations and median H-index of 5.
The International General Surgical Oncology Fellowship has successfully trained foreign surgeons for academic practice in surgical oncology. Most of the graduates have returned to their country of origin and contributed to education and research there.
对外科肿瘤学领域的外国医学毕业生进行培训，是改善全球癌症护理水平但未得到充分重视的一项干预措施。本研究的目的是描述一家综合性癌症中心针对国际外科医生开展的临床培训项目的设计与成果。
在20年期间接受培训的39名国际学员中，对34名学员就教育、研究及当前外科实践背景进行了调查。通过计算被引频次和H指数（即每位学员发表的论文中至少有h次被引用的h篇论文）来评估每位毕业学员的科研产出。
39名学员中有21名（54%）来自非英语母语国家。欧洲是毕业学员最多的大陆（39名中有17名[43%]），只有39名中的5名（13%）来自拉丁美洲。39名学员中有3名（8%）是女性。39名毕业学员中有31名（80%）返回了原籍国。调查回复率为73%（34名中的25名）。25名中有17名（68%）在学术机构工作，13名（52%）报告称外科肿瘤学是其主要临床业务。学员来自的不同地区在总被引频次和H指数方面较为均匀，中位数分别为165次被引和H指数为5。
国际普通外科肿瘤学奖学金项目已成功培训外国外科医生从事外科肿瘤学的学术实践。大多数毕业生已返回原籍国，并在当地为教育和研究做出了贡献。
