为什么美国在老年精神病学劳动力中过度依赖国际医学毕业生？

Why Does the US Overly Rely on International Medical Graduates in Its Geriatric Psychiatric Workforce?

机构信息

Professor and the Inaugural Bhatia Family Endowed Chair in Psychiatry at Creighton University School of Medicine and Catholic Health Initiatives in Omaha, Nebraska.

Assistant professor of clinical psychiatry in the Department of Psychiatry at the Yale School of Medicine in New Haven, Connecticut.

出版信息

AMA J Ethics. 2023 Oct 1;25(10):E771-776. doi: 10.1001/amajethics.2023.771.

DOI:10.1001/amajethics.2023.771

PMID:37801062

Abstract

International medical graduates (IMGs) tend to choose careers in geriatric psychiatry likely because high-quality training and robust mentorship opportunities from other IMGs are available. Geriatric psychiatry offers stable career prospects and opportunities to express humanitarian impulses by working closely with elders. IMGs currently constitute almost a quarter of the psychiatry workforce and approximately 53% of the geriatric psychiatry work force in the United States. However, the number of IMGs entering psychiatry residencies-and, subsequently, geriatric psychiatry fellowships-has recently declined. Overreliance on IMGs in the US geriatric psychiatric workforce means these shortages will further burden an already-limited geriatric mental health care workforce and further compromise US health system capacity to meet its elders' needs.

摘要

国际医学毕业生（IMGs）倾向于选择老年精神病学职业，可能是因为高质量的培训和来自其他 IMGs 的强大指导机会。老年精神病学提供稳定的职业前景和通过与老年人密切合作表达人道主义冲动的机会。IMGs 目前占美国精神病学劳动力的近四分之一，占老年精神病学劳动力的约 53%。然而，进入精神病学住院医师实习期的 IMGs 人数——随后是老年精神病学研究员——最近有所下降。美国老年精神病学劳动力过度依赖 IMGs，这意味着这些短缺将进一步加重已经有限的老年精神卫生保健劳动力的负担，并进一步损害美国卫生系统满足老年人需求的能力。