Perspectives of South American physicians hosting foreign rotators in emergency medicine

详细信息    查看全文

• 作者：Steve O’Donnell ; David H Adler…
• 关键词：Emergency medicine ; Global health ; International Health Elective ; Residency education ; International Emergency Medicine
• 刊名：International Journal of Emergency Medicine
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：7
• 期：1
• 全文大小：413 KB
• 参考文献：1. Fellowship directory of the Society for Academic Emergency Medicine. [http://www.saem.org/fellowship-directory]
  2. Tupesis, JP, Babcock, C, Char, D, Alagappan, K, Hexom, B, Kapur, GB (2012) Optimizing global health experiences in emergency medicine residency programs: a consensus statement from the Council of Emergency Medicine Residency Directors 2011 Academic Assembly global health specialty track. Int J Emerg Med 5: pp. 5-43 CrossRef
  3. Thompson, MJ, Huntington, MK, Hunt, DD, Pinsky, LE, Brodie, JJ (2003) Educational effects of international health electives on U.S. and Canadian medical students and residents: a literature review. Acad Med 78: pp. 342-347 200303000-00023" target="_blank" title="It opens in new window">CrossRef
  4. Sawatsky, AP, Rosenman, DJ, Merry, SP, McDonald, FS (2010) Eight years of the Mayo International Health Program: what an international elective adds to resident education. Mayo Clin Proc 85: pp. 734-741 2010.0107" target="_blank" title="It opens in new window">CrossRef
  Qualitative Research Methods: A Data Collector’s Field Guide. Family Health International, Research Triangle Park, North Carolina
  5. Arnold, LK, Alomran, H, Anantharaman, V, Halpern, P, Hauswald, M, Malmquist, P, Molyneux, E, Rajapakse, B, Ranney, M, Razzak, J (2007) Knowledge translation in international emergency medical care. Acad Emerg Med 14: pp. 1047-1051 2712.2007.tb02387.x" target="_blank" title="It opens in new window">CrossRef
  
• 刊物主题：Emergency Medicine; Pediatrics; Internal Medicine; Angiology; Cardiology;
• 出版者：Springer Berlin Heidelberg
• ISSN：1865-1380

文摘

Background Emergency Medicine (EM) is increasingly becoming an international field. The number of fellowships in International EM in the USA is growing along with opportunities to complete international health electives (IHEs) during residency training. The impact on host institutions, however, has not been adequately investigated. The objective of this study is to assess the experience of several South American hospitals hosting foreign EM residents completing IHEs. Methods Anonymous, semi-structured one-on-one interviews were conducted with physicians working in Emergency Departments in three hospitals in Lima, Peru and one hospital in Buenos Aires, Argentina. All participants reported previously working with EM foreign rotators. Interviews were analyzed qualitatively and coded for common themes. Results Three department chairs, six residents, and 15 attending physicians were interviewed (total--4). After qualitative analysis of interviews, two broad theme categories emerged: Benefits and Challenges. Most commonly reported benefits were knowledge sharing about emergency medical systems (78%), medical knowledge transfer (58%), and long-term relationship formation (42%). Top challenges included rotator Spanish language proficiency (70%) lack of reciprocity (58%), and level of training and rotation length (25%). Spanish proficiency related directly to how involved rotators became in patient care (e.g., taking a history, participating in rounds) but was not completely prohibitive, as a majority of physicians interviewed felt comfortable speaking in English. Lack of reciprocity refers to the difficulty of sending host physicians abroad as well as failed attempts at building long-lasting relationships with foreign institutions. Lastly, 25% preferred rotators to stay for at least 1?month and rotate in the last year of EM residency. This latter preference increased knowledge transfer from rotator to host. Conclusions Our research identified benefits and challenges of IHEs in Emergency Medicine from the perspective of physician hosts in several hospitals in South America. Our results suggest that IHEs function best when EM residents rotate later in residency training and when relationships are maintained and deepened among those involved including host physicians, rotators, and institutions. This leads to future rotators, project collaboration, research, and publications which not only benefit individuals involved but also the wider field of Emergency Medicine.