Wright Sara Lynne, Low Chen Der, Scribner Caroline, Chong Angela, Seligman Adam
Sara Lynne Wright, MS, PA-C, is a physician assistant, Geriatrics, Stanford Health Care, Instructional Faculty, Stanford School of Medicine, Palo Alto, California.
Chen Der Low, MSN, NP, is a nurse practitioner, Acute Pain Medicine, Stanford Health Care, Palo Alto, California.
J Physician Assist Educ. 2024 Dec 1;35(4):419-424. doi: 10.1097/JPA.0000000000000607. Epub 2024 Jun 11.
International exchange programs between physician assistants (PAs) and other advanced practice providers (APPs) from different countries can facilitate opportunities for global health training and experiences. This article examines a survey of 5 PAs, 4 nurse practitioners, and 1 certified nursing specialist working in the United States (US) about their experience collaborating in an international exchange program with APPs in the Netherlands.
Ten APPs in the United States anonymously answered an 8-item survey on their experience in an international exchange program with APPs in the Netherlands with a 100% response rate. The survey contained questions regarding the impact of the program on cultural competence, professional development, and perception of health care systems.
All respondents agree or strongly agree that the program contributed to APP growth in cultural competence and professional development. Eighty percent of respondents found APP practices in the United States compared with the Netherlands to be somewhat or extremely similar, with differences noted in training and education, patterns of utilization, and roles in procedures. Free responses indicate APPs are used similarly in the Netherlands and the United States, while APP training models and health care infrastructure in the 2 countries have notable differences.
Survey results examined in this article underscore how an international exchange program can not only enrich individual professional paths but also positively contribute to the broader global health care landscape. The lessons learned, shared experiences, and insights gained have the potential to shape health care practices on an international scale, fostering a collaborative and interconnected future for health care providers worldwide.
医师助理（PA）与来自不同国家的其他高级实践提供者（APP）之间的国际交流项目可为全球健康培训和体验提供机会。本文调查了在美国工作的5名医师助理、4名执业护士和1名注册护理专家，了解他们与荷兰的高级实践提供者在国际交流项目中的合作经历。
美国的10名高级实践提供者匿名回答了一项关于他们与荷兰高级实践提供者参与国际交流项目经历的8项调查问卷，回复率为100%。该调查包含有关该项目对文化能力、专业发展以及对医疗保健系统认知的影响的问题。
所有受访者同意或强烈同意该项目有助于高级实践提供者在文化能力和专业发展方面的成长。80%的受访者发现美国与荷兰的高级实践提供者的做法有些相似或极其相似，不过在培训与教育、使用模式以及在医疗程序中的角色方面存在差异。自由作答表明荷兰和美国对高级实践提供者的使用方式类似，而两国的高级实践提供者培训模式和医疗保健基础设施存在显著差异。
本文所研究的调查结果强调了国际交流项目不仅可以丰富个人职业道路，还能对更广泛的全球医疗保健格局做出积极贡献。所吸取的经验教训、分享的经历和获得的见解有可能在国际范围内塑造医疗保健实践，为全球医疗保健提供者打造一个协作互联的未来。
