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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >The International Health Program: the fifteen-year experience with Yale University's Internal Medicine Residency Program.
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The International Health Program: the fifteen-year experience with Yale University's Internal Medicine Residency Program.

机译：国际卫生计划：耶鲁大学内科住院医师计划有15年的经验。

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The purpose of this study was to assess the impact of international health electives on physicians-in-training. A retrospective study was conducted using an anonymous, self-administered mailed survey to internal medicine residents who trained at Yale from 1982 to 1996 based on their experience with our International Health Program (IHP). The response rate was 61%, with 96 completed surveys in the participant group and 96 completed surveys in the nonparticipant group. Participants were more likely than nonparticipants to care for patients on public assistance (77 versus 49; P < 0.001) and immigrant patients (41 versus 23; P = 0.006). Among residents who changed their career plans, participants (22) were more likely than nonparticipants (14) to switch from subspecialty medicine to general medicine (P = 0.02). Participants were significantly more likely to have a positive view of health care delivery in developing countries. Compared with nonparticipants (64), IHP participants (74) believed that the physical examination is under-used by physicians from the United States as a diagnostic skill (P = 0.03). International health experiences appeared to have an important impact on the decisions and attitudes of residents.
机译：这项研究的目的是评估国际健康选修课程对培训医师的影响。回顾性研究是使用匿名的，自行管理的邮寄调查对1982年至1996年在耶鲁接受过培训的内科医学居民进行的，基于他们在我们国际卫生计划（IHP）中的经验。回应率为61％，参与组完成96项调查，未参加组完成96项调查。参加者比非参加者更有可能护理接受公共援助的患者（77比49; P <0.001）和移民患者（41比23; P = 0.006）。在改变了职业计划的居民中，参与者（22）比非参与者（14）更有可能从专科医学转向普通医学（P = 0.02）。与会人员对发展中国家的卫生保健提供积极看法的可能性更大。与非参与者（64）相比，国际水文计划参与者（74）认为，体检没有被美国医师用作诊断技能（P = 0.03）。国际卫生经验似乎对居民的决定和态度有重要影响。

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