Dawson R, Shukla H S, Mansel R E, Lewis M H
Department of General Surgery, East Glamorgan General Hospital.
Ann R Coll Surg Engl. 1997 Nov;79(6 Suppl):244-8.
Overseas Doctors have been coming for higher surgical training to the UK for many years. Little is known about the reasons they choose to come here, what their expectations are and if the training they receive fulfils these expectations and prepares them for a career back home. The aim of this study was to address these questions and to see what changes could be suggested to make training more meaningful to visiting registrars. Questionnaires were sent to 26 trainees who were part of the 3 year surgical registrar rotation in Wales from 1992. 23 completed questionnaires were available for analysis as the others were not traceable. 83% came to the UK to obtain the FRCS and train in a specific aspect of general surgery (74%). The period of training was felt to be inadequate by 79% of trainees. 65% felt that of the total period of training, less than 75% was useful. On return to their own countries 96% were to be either solely or largely responsible for patients in their care. In conclusion, if surgical training is to remain meaningful to visiting trainees, changes would have to be made to the Calman system to enable them to continue to do the FRCS and avenues made available for them to train in their stated areas of interest with adequate supervision, regular assessment and certification.
多年来，海外医生一直来到英国接受更高水平的外科培训。对于他们选择来这里的原因、期望是什么，以及他们接受的培训是否满足这些期望并为他们回国后的职业生涯做好准备，人们了解得很少。本研究的目的是解决这些问题，并探讨可以提出哪些改变，以使培训对来访的住院医生更有意义。向1992年起在威尔士参加为期3年的外科住院医生轮岗培训的26名学员发放了问卷。由于其他问卷无法追踪，因此有23份完整的问卷可供分析。83%的人来英国是为了获得皇家外科学院院士资格（FRCS）并接受普通外科特定方面的培训（74%）。79%的学员认为培训时间不足。65%的人认为在整个培训期间，只有不到75%的时间是有用的。回国后，96%的人将独自或主要负责他们所护理的患者。总之，如果要使外科培训对来访学员保持有意义，就必须对卡尔曼系统进行改革，使他们能够继续获得FRCS资格，并为他们提供途径，以便在有充分监督、定期评估和认证的情况下，在他们指定的感兴趣领域进行培训。
