Mitchell Rob D, Mitchell Rebecca L, Phillips Georgina A, Jayaratnam Skandarupan, Jamieson Jennifer, O'Reilly Gerard M
Emergency and Trauma Centre, Alfred Hospital, Melbourne, Victoria, Australia.
School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Emerg Med Australas. 2020 Apr;32(2):327-335. doi: 10.1111/1742-6723.13463. Epub 2020 Feb 17.
Demand for global health (GH) training and experiences among emergency medicine trainees is unknown. The primary objective of the Trainee Interest in Global Health Training (TIGHT) study was to quantify the number of trainees interested in completing a rotation in a resource-limited environment within a low- or middle-income country during their specialty training.
A cross-sectional study of trainees in seven specialty training programmes was conducted between August and October 2018. Data were collected using a voluntary, anonymous, self-reporting, web-based survey. This study describes the results of a planned sub-group analysis of ACEM trainees.
There were 203 respondents among 2525 ACEM trainees. Although only a small number (36/198, 18.2%) had undertaken a GH experience as a specialty trainee, 85.6% (167/195) were keen to do so. The vast majority of respondents (179/194, 87.1%) were interested or very interested in having their GH experience accredited for training, but 68.9% (133/193) reported that accessing a suitable placement was a barrier. More than 79% (147/186) expressed interest in undertaking an integrated GH training or fellowship programme as an adjunct to specialty training.
Notwithstanding the limitations of a self-reporting survey with a sub-optimal response rate, there is significant demand for GH training and experiences among ACEM trainees. These findings should inform the development of safe and effective global emergency care training pathways, underpinned by mutually beneficial, international partnerships with educational and development objectives.
急诊医学实习生对全球健康（GH）培训及相关经历的需求尚不清楚。全球健康培训学员兴趣（TIGHT）研究的主要目的是量化在专科培训期间有兴趣在低收入或中等收入国家资源有限环境中完成轮转的实习生数量。
2018年8月至10月，对七个专科培训项目的实习生进行了一项横断面研究。数据通过自愿、匿名、基于网络的自我报告式调查问卷收集。本研究描述了对澳大利亚急诊医学学院（ACEM）实习生进行的计划亚组分析结果。
2525名ACEM实习生中有203名受访者。虽然只有少数人（36/198，18.2%）作为专科实习生有过全球健康相关经历，但85.6%（167/195）渴望这样做。绝大多数受访者（179/194，87.1%）对其全球健康经历获得培训认证感兴趣或非常感兴趣，但68.9%（133/193）报告称找到合适的实习岗位是一个障碍。超过79%（147/186）表示有兴趣参加综合全球健康培训或奖学金项目作为专科培训的补充。
尽管自我报告式调查存在局限性且回复率不理想，但ACEM实习生对全球健康培训及经历有显著需求。这些发现应为安全有效的全球急诊护理培训途径的发展提供参考，其基础是与具有教育和发展目标的互利国际伙伴关系。
