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International medical graduates and general practice training: How do educational leaders facilitate the transition from new migrant to local family doctor?

机译：国际医学毕业生和一般练习培训：教育领导者如何促进从新移民到当地家庭医生的过渡？

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摘要

Objectives: To document medical educators' experience and initiatives in training international medical graduates (IMGs) to become general practitioners (GP). Design: Qualitative social-constructivist emergent design with descriptive and interpretive analyses. Setting: GP vocational training in Australia, Canada, Ireland, New Zealand, the Netherlands, and UK. Participants: Twenty-eight leaders of GP training. Intervention: Data collected from public documents, published literature and 27 semi-structured interviews. Main outcome measures: Tensions in training and innovations in response to these tensions. Results: Medical educators identified tension in teaching IMGs as it could be different to teaching domestic graduates in any or all aspects of a training program. They felt an ethical responsibility to support IMGs to provide quality health care in their adopted country but faced multiple challenges to achieve this. They described initiatives to address these throughout GP training. Conclusions: IMG's differing educational needs will benefit from flexible individualized adaptation of training programs.
机译：目标：记录培训国际医学毕业生（IMG）的医疗教育工作者的经验和举措，成为全科学者（GP）。设计：具有描述性和解释分析的定性社会建构主义突发设计。环境：澳大利亚，加拿大，爱尔兰，新西兰，荷兰和英国的GP职业培训。参与者：28个GP培训领导者。干预：从公共文件，发表文献和27个半结构化访谈中收集的数据。主要观察措施：培训和创新的紧张局势，以应对这些紧张局势。结果：医疗教育工作者确定了教学IMG的紧张局势，因为在培训计划的任何或所有方面都有不同于教学的国内毕业生。他们感到伦理支持IMG在其通过的国家提供优质的医疗保健，但面临多种挑战来实现这一目标。他们描述了解决整个GP培训的举措。结论：IMG的不同教育需求将受益于灵活的个性化培训计划的适应。

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  • 来源
    《Medical teacher》 |2019年第9期|共8页
  • 作者

    Wearne Susan M.; Brown James B.; Kirby Catherine; Snadden David;

  • 作者单位

    Australian Natl Univ Acad Unit Gen Practice Canberra ACT Australia;

    Eastern Victoria Gen Practice Training Educ Qual Improvement Churchill Australia;

    Eastern Victoria Gen Practice Training Churchill Australia;

    Univ British Columbia Northern Med Program Fac Med Rural Hlth Dept Family Practice Prince;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医药、卫生;
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