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数字平台在支持英国国际医学毕业生方面的应用

The Application of Digital Platforms in Supporting UK International Medical Graduates.

作者信息

Farag Mina, Olaogun Idowu

机构信息

General Practice, Health Education England (West Midlands), Birmingham, GBR.

Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

出版信息

Cureus. 2020 Oct 1;12(10):e10750. doi: 10.7759/cureus.10750.

DOI:10.7759/cureus.10750
PMID:33150102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7603889/
Abstract

Although international medical graduates (IMGs) constitute considerable percentage of doctors in the National Health Service (NHS), they face several challenges in acclimatizing to the NHS health system. Communication skills, language subtleties, and career progression difficulties are among the most important challenges that overseas doctors face. Some resources are already available to support these doctors and several trusts across the UK have developed local interventions and educational programs to help their doctors bridge the gaps in their knowledge. However, there is no proof of the external validity of these programs and none are identified as effective on a national level. Senior IMGs are leading very popular and inspiring projects using digital platforms, especially social media. We identified several social media pages, groups, and websites subscribed to by hundreds of thousands of doctors in the UK and around the world, including doctors who are planning a future career in the UK. These platforms provide information, resources, support, and answers to questions posed by junior IMGs. Inspired by these projects and also by an Australian project that transformed a local IMG education program, we studied whether using digital platforms and transforming evidence-based local programs to national ones would be the best way forward to support IMGs.

摘要

尽管国际医学毕业生(IMGs)在英国国家医疗服务体系(NHS)中占相当比例的医生,但他们在适应NHS医疗系统方面面临诸多挑战。沟通技巧、语言细微差别以及职业发展困难是海外医生面临的最重要挑战之一。已经有一些资源可用于支持这些医生,英国各地的几个信托机构也制定了当地的干预措施和教育项目,以帮助他们的医生弥补知识差距。然而,没有证据表明这些项目具有外部有效性,也没有一个项目在全国范围内被认定为有效。资深IMGs正在利用数字平台,尤其是社交媒体,开展非常受欢迎且鼓舞人心的项目。我们发现了几个社交媒体页面、群组和网站,英国及世界各地数十万医生订阅了这些平台,其中包括计划在英国开启未来职业生涯的医生。这些平台为初级IMGs提供信息、资源、支持并解答他们提出的问题。受这些项目以及一个改变了当地IMG教育项目的澳大利亚项目的启发,我们研究了利用数字平台并将基于证据的当地项目转变为全国性项目是否是支持IMGs的最佳途径。

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Letters to the Editor.致编辑的信。
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本文引用的文献

1
Integrating international medical graduates.整合国际医学毕业生。
Future Healthc J. 2019 Mar;6(Suppl 1):176. doi: 10.7861/futurehosp.6-1-s176.
2
Using high-fidelity simulation to design a course for overseas doctors in managing common medical, ethical and legal challenges within the NHS.利用高保真模拟为海外医生设计一门课程,以应对英国国家医疗服务体系(NHS)中常见的医疗、伦理和法律挑战。
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International medical graduates and general practice training: How do educational leaders facilitate the transition from new migrant to local family doctor?国际医学毕业生与全科医学培训:教育领导者如何促进新移民向当地家庭医生的角色转变?
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Exploring reasons for differences in performance between UK and international medical graduates in the Membership of the Royal College of General Practitioners Applied Knowledge Test: a cognitive interview study.探讨英国和国际医学毕业生在皇家全科医师学院会员应用知识测试中的表现差异原因:一项认知访谈研究。
BMJ Open. 2019 May 30;9(5):e030341. doi: 10.1136/bmjopen-2019-030341.
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INTERNATIONAL: Overseas doctors of the NHS: migration, transition, challenges and towards resolution.国际:英国国家医疗服务体系(NHS)的海外医生:移民、过渡、挑战及解决之道
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A description and evaluation of an educational programme for North West England GP trainees who have multiple fails in the Clinical Skills Assessment (CSA).针对在临床技能评估(CSA)中多次不及格的英格兰西北部全科医生培训学员的教育计划描述与评估。
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Med Educ. 2018 Jul;52(7):736-746. doi: 10.1111/medu.13605.
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Educational challenges faced by international medical graduates in the UK.英国国际医学毕业生面临的教育挑战。
Adv Med Educ Pract. 2017 Jun 29;8:441-445. doi: 10.2147/AMEP.S126859. eCollection 2017.
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Dealing with foreign cultural paradigms: A systematic review on intercultural challenges of international medical graduates.应对外国文化范式:关于国际医学毕业生跨文化挑战的系统综述
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