Miller W C, Corey G R, Lallinger G J, Durack D T
Department of Medicine, University of North Carolina at Chapel Hill, USA.
Am J Med. 1995 Sep;99(3):291-7. doi: 10.1016/s0002-9343(99)80162-4.
To evaluate the impact of the Duke University Medicine Residency International Health Program (IHP) on program participants and to evaluate the relationship of the IHP to the residency program.
The Duke University Medicine Residency Program classes of 1988 to 1996 participated in a questionnaire-based survey. All program participants (n = 59), a group of nonparticipants (n = 138), and residents who had not yet had an opportunity to participate (preparticipants; n = 106).
The overall response rate to the questionnaire was 93%. Participation exceeded expectations and had a strongly positive impact on personal and professional lives of the majority of the participants. Participants reported a significant positive impact on their training in internal medicine and their knowledge of tropical medicine. A minority of nonparticipants identified a positive effect in these areas due to conferences and interactions with their participating colleagues. Participants who changes career plans during residency tended to move toward areas of general internal medicine or public health, in contrast to nonparticipants who tended to change areas of subspecialty or chose private practice. The IHP was identified as a significant factor for selection of the Duke Medicine Residency by 42% of the preparticipant group. Nearly all of the respondents (99%) indicated that the IHP should be continued.
The IHP has a measurable positive impact on the participants, as well as on the Medicine Residency Program.
评估杜克大学医学住院医师国际健康项目（IHP）对项目参与者的影响，并评估IHP与住院医师项目之间的关系。
对杜克大学1988年至1996年医学住院医师项目班级的学员进行了问卷调查。所有项目参与者（n = 59）、一组非参与者（n = 138）以及尚未有机会参与的住院医师（预参与者；n = 106）。
问卷的总体回复率为93%。参与情况超出预期，对大多数参与者的个人和职业生活产生了强烈的积极影响。参与者报告称，该项目对他们的内科培训和热带医学知识有显著的积极影响。少数非参与者由于会议以及与参与项目的同事的互动，在这些方面也发现了积极影响。在住院医师培训期间改变职业规划的参与者倾向于转向普通内科或公共卫生领域，相比之下，非参与者倾向于改变亚专业领域或选择私人执业。42%的预参与者群体认为IHP是选择杜克大学医学住院医师项目的一个重要因素。几乎所有受访者（99%）表示IHP应该继续开展。
IHP对参与者以及医学住院医师项目都有显著的积极影响。
