美国麻醉住院医师培训项目中的国际选修机会。

International Elective Opportunities in United States Anesthesia Residency Programs.

作者信息

Prin Meghan, Phelps Janey

出版信息

J Educ Perioper Med. 2017 Oct 1;19(4):E613. eCollection 2017 Oct-Dec.

PMID:29766037

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5944409/

Abstract

BACKGROUND

Global health is a recognized component of medical education and is increasingly included in residency programs. International electives have the potential to improve global health training by providing exposure to different populations and the challenges of health disparities. The objective of this study was to describe international elective opportunities in US anesthesiology residency training programs, including an assessment the types of programs offered and the obstacles to providing this type of training.

METHODS

An electronic survey was sent to 122 anesthesiology programs. The survey defined an international experience as "a time in which a current US anesthesiology resident traveled outside of the US to pursue a healthcare-related experience." Details describing international opportunities were collected. Responses were stratified by geographic region, program size, and by the availability of international electives. The websites of all surveyed programs were then reviewed to determine specific mention of international or global health programs. These results were compared to the survey responses.

RESULTS

In the website review, 33.6% of programs' websites described international electives for residents. Among all surveyed programs, 56 (45.9%) completed surveys were returned, with 39 (69.6%) of these programs offering international electives. Not all programs with electives described the offering on their websites. There was no relationship between program size or location and the availability of an elective. At most programs with international electives, at least 4 residents participated annually. Funding was the primary barrier to providing international electives. Perceptions of international electives were generally positive.

CONCLUSIONS

A large proportion of US anesthesia residency programs offer international electives, and perceptions of global health in anesthesiology are positive. This is consistent with developments in global health in other subspecialty fields.

摘要

背景

全球健康是医学教育中公认的一部分，并且越来越多地被纳入住院医师培训项目。国际选修课程有潜力通过让学员接触不同人群以及健康差异带来的挑战来改善全球健康培训。本研究的目的是描述美国麻醉学住院医师培训项目中的国际选修机会，包括对所提供项目类型的评估以及提供此类培训的障碍。

方法

向122个麻醉学项目发送了电子调查问卷。该调查将国际经历定义为“当前美国麻醉学住院医师前往美国境外寻求与医疗保健相关经历的时间段”。收集了描述国际机会的详细信息。回复按地理区域、项目规模以及国际选修课程的可用性进行分层。然后审查所有被调查项目的网站，以确定是否特别提及国际或全球健康项目。将这些结果与调查回复进行比较。

结果

在网站审查中，33.6%的项目网站描述了针对住院医师的国际选修课程。在所有被调查项目中，共收到56份（45.9%）完成的调查问卷，其中39个（69.6%）项目提供国际选修课程。并非所有提供选修课程的项目都在其网站上描述了该课程。项目规模或地点与选修课程的可用性之间没有关联。在大多数设有国际选修课程的项目中，每年至少有4名住院医师参加。资金是提供国际选修课程的主要障碍。对国际选修课程的看法总体上是积极的。