Department of Internal Medicine, University of Montreal, Montreal, Quebec, Canada.
Department of Medicine and Surgery, School of Human Sciences, University of Florence, Italy.
Med Teach. 2019 Dec;41(12):1399-1403. doi: 10.1080/0142159X.2019.1641590. Epub 2019 Jul 31.
The International Federation of Medical Students' Associations (IFMSA) organizes over 15,000 international medical exchanges per year in over 100 countries. In the past, there was no standardized Pre-Departure Training (PDT) for participants. A PDT is important to protect patient safety and prepare students for their exchange. To determine whether a two-hour case-based Pre-Departure Training can increase self-reported level of comfort on competencies in basic medical ethics, cultural competence, research ethics, and recognizing the limits of one's level of skill in medical students. In 2017, the PDT was implemented in nine countries for medical students prior to their IFMSA exchange. Participants self-evaluated their competencies in an online questionnaire before and after the PDT. 234 students from 32 countries completed the pre-PDT evaluation and 104 completed both evaluations. Participants demonstrated statistically significant improvements in self-reported competencies in 16 out of 18 items including voicing lack of skill to a supervisor ( < 0.001) and recognizing personal cultural biases ( < 0.001). A case-based PDT can improve participants' self-reported comfort in treating patients from different cultural backgrounds and help maintain high ethical standards abroad. The PDT was implemented at large within IFMSA in 2018.
国际医学生联合会（IFMSA）每年在 100 多个国家组织超过 15000 次国际医学交流活动。过去，参与者没有标准化的出国前培训（PDT）。PDT 对于保护患者安全和使学生为交流做好准备非常重要。为了确定两小时的基于案例的出国前培训是否可以提高医学生在基本医学伦理、文化能力、研究伦理和认识自己技能水平方面的自我报告能力舒适度。2017 年，在 IFMSA 交流之前，在九个国家为医学生实施了 PDT。参与者在 PDT 前后通过在线问卷自我评估他们的能力。来自 32 个国家的 234 名学生完成了预 PDT 评估，104 名学生完成了两次评估。参与者在 18 项中的 16 项自我报告的能力方面表现出统计学上显著的提高，包括向主管表达缺乏技能（<0.001）和认识到个人文化偏见（<0.001）。基于案例的 PDT 可以提高参与者在治疗来自不同文化背景的患者方面的自我报告舒适度，并有助于在国外保持高标准的道德规范。2018 年，IFMSA 内部广泛实施了 PDT。
