Sivakumaran Lojan, Ayinde Tasha, Hamadini Fadi, Meterissian Sarkis, Razek Tarek, Puckrin Robert, Munoz Johanna, O'Hearn Shawna, Deckelbaum Dan L
McGill University.
Global Health Programs, McGill University.
Can Med Educ J. 2016 Dec 5;7(3):e41-e50. eCollection 2016 Dec.
Global health electives offer medical trainees the opportunity to broaden their clinical horizons. Canadian universities have been encouraged by regulatory bodies to offer institutional support to medical students going abroad; however, the extent to which such support is available to residents has not been extensively studied.
We conducted a survey study of Canadian universities examining the institutional support available to post-graduate medical trainees before, during, and after global health electives.
Responses were received from 8 of 17 (47%) Canadian institutions. Results show that trainees are being sent to diverse locations around the world with more support than recommended by post-graduate regulatory bodies. However, we found that the content of the support infrastructure varies amongst universities and that certain components-pre-departure training, best practices, risk management, and post-return debriefing-could be more thoroughly addressed.
Canadian universities are encouraged to continue to send their trainees on global health electives. To address the gaps in infrastructure reported in this study, the authors suggest the development of comprehensive standardized guidelines by post-graduate regulatory/advocacy bodies to better ensure patient and participant safety. We also encourage the centralization of infrastructure management to the universities' global health departments to aid in resource management.
全球健康选修课为医学实习生提供了拓宽临床视野的机会。监管机构鼓励加拿大各大学为出国的医科学生提供机构支持；然而，对于住院医师能获得何种程度的此类支持，尚未进行广泛研究。
我们对加拿大各大学进行了一项调查研究，考察研究生医学实习生在全球健康选修课之前、期间和之后可获得的机构支持。
从17所加拿大机构中的8所（47%）收到了回复。结果显示，实习生被派往世界各地，获得的支持比研究生监管机构建议的更多。然而，我们发现各大学支持体系的内容各不相同，某些部分——出发前培训、最佳实践、风险管理和回国后汇报——可以得到更全面的处理。
鼓励加拿大各大学继续派遣实习生参加全球健康选修课。为弥补本研究中报告的支持体系差距，作者建议研究生监管/倡导机构制定全面的标准化指南，以更好地确保患者和参与者的安全。我们还鼓励将支持体系管理集中到大学的全球健康部门，以协助资源管理。
