Bills Corey B, Ahn James
J Grad Med Educ. 2016 Dec;8(5):685-691. doi: 10.4300/JGME-D-15-00774.1.
Global health (GH) interest is increasing in graduate medical education (GME). The popularity of the GH topic has created growth in the GME literature.
The authors aim to provide a systematic review of published approaches to GH in GME.
We searched PubMed using variable keywords to identify articles with abstracts published between January 1975 and January 2015 focusing on GME approaches to GH. Articles meeting inclusion criteria were evaluated for content by authors to ensure relevance. Methodological quality was assessed using the Medical Education Research Study Quality Instrument (MERSQI), which has demonstrated reliability and validity evidence.
Overall, 69 articles met initial inclusion criteria. Articles represented research and curricula from a number of specialties and a range of institutions. Many studies reported data from a single institution, lacked randomization and/or evidence of clinical benefit, and had poor reliability and validity evidence. The mean MERSQI score among 42 quantitative articles was 8.87 (2.79).
There is significant heterogeneity in GH curricula in GME, with no single strategy for teaching GH to graduate medical learners. The quality of literature is marginal, and the body of work overall does not facilitate assessment of educational or clinical benefit of GH experiences. Improved methods of curriculum evaluation and enhanced publication guidelines would have a positive impact on the quality of research in this area.
全球卫生（GH）在毕业后医学教育（GME）中的受关注程度日益增加。GH主题的热度促使GME文献不断增多。
作者旨在对已发表的GME中GH教学方法进行系统综述。
我们在PubMed中使用不同关键词进行检索，以识别1975年1月至2015年1月期间发表的带有摘要且聚焦于GME中GH教学方法的文章。符合纳入标准的文章由作者进行内容评估以确保相关性。使用医学教育研究质量工具（MERSQI）评估方法学质量，该工具已证明具有可靠性和有效性证据。
总体而言，69篇文章符合初始纳入标准。这些文章代表了多个专业和一系列机构的研究与课程。许多研究报告的是来自单一机构的数据，缺乏随机化和/或临床获益证据，且可靠性和有效性证据不足。42篇定量文章的MERSQI平均得分是8.87（2.79）。
GME中GH课程存在显著异质性，没有单一的策略用于向毕业后医学学习者教授GH。文献质量一般，总体工作成果不利于评估GH经历的教育或临床获益。改进课程评估方法和强化发表指南将对该领域的研究质量产生积极影响。
