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加州大学洛杉矶分校国际医学毕业生通往家庭医学委员会认证及服务欠缺地区医疗实践的途径。

UCLA International Medical Graduate Pathway to Family Medicine Board Certification and Underserved Practice.

作者信息

Bholat Michelle, Hernandez Ann M, Campos Blanca, Antillon Ricardo, Dowling Patrick T, Moreno Gerardo

机构信息

Department of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA.

出版信息

Fam Med. 2025 Apr 4;57(5):355-63. doi: 10.22454/FamMed.2025.344685.

DOI:10.22454/FamMed.2025.344685
PMID:40267486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12212037/
Abstract

BACKGROUND AND OBJECTIVES

The University of California, Los Angeles (UCLA) International Medical Graduate (IMG) program addresses the need for more bilingual and bicultural Latino family physicians in California where Latinos are the largest racial/ethnic minority group and a large percentage of the population speaks Spanish. The objective of this descriptive study was to assess family medicine residency match, board certification, and initial practice location outcomes of the program graduates.

METHODS

We conducted a cross-sectional study of program graduates (N=204) from 2007 to 2024. Data were abstracted from program administrative files and the California Medical Board. Primary outcomes were match rate into California family medicine residency programs, completion of a residency, board certification, and initial training practice location. We computed descriptive statistics for participant characteristics and outcomes.

RESULTS

A total of 177/204 (87%) participants completed the UCLA IMG program and entered the match. The country with the most graduates was Mexico followed by Cuba. All graduates, 177/177 (100.0%), that applied and entered the National Resident Matching Program matched in a family medicine residency program. A total of 172 (97%) matched in California programs and 5 (2.8%) matched out of state. Family medicine board certification was verified for 152/159 (95.6%) of those eligible. Few completed a fellowship.

CONCLUSIONS

The UCLA IMG program was effective at preparing program graduates that were fluent in Spanish and bicultural to match in a California family medicine residency program and subsequently practice family medicine in underserved areas. Future studies will examine long-term practice outcomes, predictors of success, and participant perspectives on the program.

摘要

背景与目标

加利福尼亚大学洛杉矶分校(UCLA)的国际医学毕业生(IMG)项目,满足了加利福尼亚州对更多具备双语和双文化能力的拉丁裔家庭医生的需求。在该州,拉丁裔是最大的种族/族裔少数群体,且很大一部分人口讲西班牙语。这项描述性研究的目的是评估该项目毕业生在家庭医学住院医师匹配、获得委员会认证以及初始执业地点方面的成果。

方法

我们对2007年至2024年的项目毕业生(N = 204)进行了横断面研究。数据从项目管理文件和加利福尼亚州医学委员会提取。主要成果包括进入加利福尼亚州家庭医学住院医师项目的匹配率、完成住院医师培训、获得委员会认证以及初始培训执业地点。我们计算了参与者特征和成果的描述性统计数据。

结果

共有177/204(87%)的参与者完成了UCLA IMG项目并进入匹配程序。毕业生最多的国家是墨西哥,其次是古巴。所有申请并进入全国住院医师匹配计划的毕业生,177/177(100.0%)都匹配到了家庭医学住院医师项目。共有172人(97%)匹配到加利福尼亚州的项目,5人(2.8%)匹配到其他州。符合条件的人员中,152/159(95.6%)获得了家庭医学委员会认证。很少有人完成了专科 fellowship。

结论

UCLA IMG项目有效地培养了西班牙语流利且具备双文化能力的毕业生,使他们能够匹配到加利福尼亚州的家庭医学住院医师项目,并随后在服务欠缺地区从事家庭医学工作。未来的研究将考察长期执业成果、成功的预测因素以及参与者对该项目的看法。

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本文引用的文献

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2
Opening the Door Wider to International Medical Graduates - The Significance of a New Tennessee Law.为国际医学毕业生敞开更广阔的大门——田纳西州一项新法律的意义
N Engl J Med. 2023 Nov 23;389(21):1925-1928. doi: 10.1056/NEJMp2310001. Epub 2023 Nov 18.
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Mentoring Hispanic International Medical Graduates: A Path to Inclusion.指导西班牙裔国际医学毕业生:通往包容之路。
Acad Med. 2024 Jun 1;99(6):e10. doi: 10.1097/ACM.0000000000005518. Epub 2023 Nov 17.
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Easing the Entry of Qualified International Medical Graduates to U.S. Medical Practice.促进合格的国际医学毕业生进入美国医疗实践
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The Latino Resident Physician Shortage: A Challenge and Opportunity for Equity, Diversity, and Inclusion.拉美裔住院医师短缺:公平、多样性和包容性的挑战与机遇。
Acad Med. 2022 Nov 1;97(11):1673-1682. doi: 10.1097/ACM.0000000000004793. Epub 2022 Jun 21.
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Predictors of Primary Care Physician Practice Location in Underserved Urban or Rural Areas in the United States: A Systematic Literature Review.美国城市或农村地区医疗服务欠缺地区基层医疗医生执业地点的预测因素:一项系统文献综述
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