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全球卫生体验中的四类学习者:成功吸引住院医师参与的框架

Four Learner Categories in Global Health Experiences: A Framework for Successful Resident Engagement.

机构信息

Departments of Medicine and Pediatrics, Indiana University School of Medicine, Indianapolis, IN, US.

Department of Child Health and Pediatrics, Moi University School of Medicine, Eldoret, Kenya.

出版信息

Ann Glob Health. 2022 Aug 8;88(1):66. doi: 10.5334/aogh.3562. eCollection 2022.

DOI:10.5334/aogh.3562
PMID:36043038
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9374011/
Abstract

An increasing number of residency programs in the United States now offer global health experiences for trainees, yet many participating residents lack the behaviors and skills needed to engage effectively with local partners and colleagues. In the experience of the authors, trainees working in global settings fall into 1 of 4 learner categories determined by their degree of cultural humility and their willingness to engage with their hosts. This viewpoint proses the concept of "re-orientation," or ongoing structured mentorship, as a way to provide key opportunities for residents to mature in these two important areas during their global experiences. We propose that residencies should incorporate "re-orientation" as a component of their global health rotations in order to provide their trainees with the skills and behaviors to engage successfully with their local colleagues and partners.

摘要

现在,越来越多的美国住院医师培训项目为受训者提供全球卫生体验,但许多参与的住院医师缺乏与当地合作伙伴和同事有效接触的行为和技能。在作者的经验中,在全球环境中工作的受训者分为 4 类学习者,这取决于他们的文化谦逊程度和与东道主接触的意愿。这一看法提出了“再定位”的概念,即持续的结构化指导,作为一种为住院医师提供在全球经验中这两个重要领域成熟的关键机会的方式。我们建议住院医师培训项目将“再定位”作为其全球卫生轮转的一个组成部分,以便为其受训者提供与当地同事和合作伙伴成功接触的技能和行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b084/9374011/112ca5575d3a/agh-88-1-3562-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b084/9374011/112ca5575d3a/agh-88-1-3562-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b084/9374011/112ca5575d3a/agh-88-1-3562-g1.jpg

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本文引用的文献

1
Implementation of global health competencies: A scoping review on target audiences, levels, and pedagogy and assessment strategies.全球卫生能力实施情况:目标人群、层次、教学法以及评估策略的范围综述。
PLoS One. 2020 Oct 1;15(10):e0239917. doi: 10.1371/journal.pone.0239917. eCollection 2020.
2
Host community perspectives on trainees participating in short-term experiences in global health.东道社区对参与全球健康短期实践的实习生的看法。
Med Educ. 2016 Nov;50(11):1122-1130. doi: 10.1111/medu.13106.
3
Toward reciprocity: host supervisor perspectives on international medical electives.
走向互惠:东道主导师对国际医学选修课程的看法
Med Educ. 2014 Apr;48(4):397-404. doi: 10.1111/medu.12386.
4
"We learn from them, they learn from us": global health experiences and host perceptions of visiting health care professionals.“我们向他们学习,他们向我们学习”:全球卫生经验和东道主对来访医疗保健专业人员的看法。
Acad Med. 2013 Apr;88(4):483-7. doi: 10.1097/ACM.0b013e3182857b8a.
5
Structured global health programs in U.S. medical schools: a web-based review of certificates, tracks, and concentrations.美国医学院中的结构化全球卫生项目:基于网络的证书、专业方向和重点课程回顾。
Acad Med. 2013 Jan;88(1):124-30. doi: 10.1097/ACM.0b013e3182765768.
6
Perspective: partnering for medical education in Sub-Saharan Africa: seeking the evidence for effective collaborations.观点:在撒哈拉以南非洲开展医学教育合作:寻找有效合作的证据。
Acad Med. 2012 Feb;87(2):216-20. doi: 10.1097/ACM.0b013e31823ede39.
7
Ethics and best practice guidelines for training experiences in global health.全球健康培训经验的伦理和最佳实践指南。
Am J Trop Med Hyg. 2010 Dec;83(6):1178-82. doi: 10.4269/ajtmh.2010.10-0527.
8
Global health training and international clinical rotations during residency: current status, needs, and opportunities.住院医师培训期间的全球健康培训与国际临床轮转:现状、需求与机遇
Acad Med. 2009 Mar;84(3):320-5. doi: 10.1097/ACM.0b013e3181970a37.
9
Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education.文化谦逊与文化能力:多元文化教育中界定医生培训成果的关键区别。
J Health Care Poor Underserved. 1998 May;9(2):117-25. doi: 10.1353/hpu.2010.0233.