“位置的重要性远超乎想象”：加勒比海离岸医学院网站推送和拉取因素信息中使用的关键主题分析。

"Location is surprisingly a lot more important than you think": a critical thematic analysis of push and pull factor messaging used on Caribbean offshore medical school websites.

机构信息

Department of Geography, Simon Fraser University, Burnaby, Canada.

Department of Public Affairs, University of Central Florida, Orlando, USA.

出版信息

BMC Med Educ. 2017 Jun 2;17(1):99. doi: 10.1186/s12909-017-0936-x.

DOI:10.1186/s12909-017-0936-x

PMID:28578670

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5457626/

Abstract

BACKGROUND

Offshore medical schools are for-profit, private enterprises located in the Caribbean that provide undergraduate medical education to students who must leave the region for postgraduate training and also typically to practice. This growing industry attracts many medical students from the US and Canada who wish to return home to practice medicine. After graduation, international medical graduates can encounter challenges obtaining residency placements and can face other barriers related to practice.

METHODS

We conducted a qualitative thematic analysis to discern the dominant messages found on offshore medical school websites. Dominant messages included frequent references to push and pull factors intended to encourage potential applicants to consider attending an offshore medical school. We reviewed 38 English-language Caribbean offshore medical school websites in order to extract and record content pertaining to push and pull factors.

RESULTS

We found two push and four pull factors present across most offshore medical school websites. Push factors include the: shortages of physicians in the US and Canada that require new medical trainees; and low acceptance rates at medical schools in intended students' home countries. Pull factors include the: financial benefits of attending an offshore medical school; geographic location and environment of training in the Caribbean; training quality and effectiveness; and the potential to practice medicine in one's home country.

CONCLUSIONS

This analysis contributes to our understanding of some of the factors behind students' decisions to attend an offshore medical school. Importantly, push and pull factors do not address the barriers faced by offshore medical school graduates in finding postgraduate residency placements and ultimately practicing elsewhere. It is clear from push and pull factors that these medical schools heavily focus messaging and marketing towards students from the US and Canada, which raises questions about who benefits from this offshoring practice.

摘要

背景

海外医学院是营利性的私立企业，位于加勒比地区，为学生提供本科医学教育，这些学生必须离开该地区接受研究生培训，而且通常也需要在该地区行医。这个不断发展的行业吸引了许多来自美国和加拿大的医学生，他们希望回国行医。毕业后，国际医学毕业生在获得住院医师实习机会方面可能会遇到挑战，并面临与实践相关的其他障碍。

方法

我们进行了定性主题分析，以辨别在海外医学院网站上发现的主要信息。主要信息包括频繁提及旨在鼓励潜在申请人考虑就读海外医学院的推动因素和拉动因素。我们审查了 38 所加勒比地区英语海外医学院的网站，以提取和记录与推动因素和拉动因素相关的内容。

结果

我们发现，大多数海外医学院网站都存在两个推动因素和四个拉动因素。推动因素包括：美国和加拿大医生短缺，需要新的医学培训生；以及目标学生本国医学院的录取率低。拉动因素包括：就读海外医学院的经济利益；加勒比地区培训的地理位置和环境；培训质量和效果；以及在本国行医的可能性。

结论

这项分析有助于我们了解学生选择就读海外医学院的一些背后因素。重要的是，推动因素和拉动因素并没有解决海外医学院毕业生在寻找研究生住院医师实习机会以及最终在其他地方行医时面临的障碍。从推动因素和拉动因素可以清楚地看出，这些医学院在向来自美国和加拿大的学生大力宣传和营销，这引发了一个问题，即谁从这种离岸实践中受益。