Navigating New Territories: A Systematic Review of the Transition Experiences of International Medical Graduates in English-Speaking Countries.

IF 1.9 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Medical Science Educator Pub Date : 2024-07-30 eCollection Date: 2024-12-01 DOI:10.1007/s40670-024-02126-5

Yoshito Nishimura, Arvin Tan, Bryan Brown, Masayuki Nogi, Travis Watai, Richard T Kasuya, Christina Chong

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引用次数: 0

Abstract

Objectives: To summarize the evidence related to the experiences and challenges of International Medical Graduates (IMGs) in healthcare systems of English-speaking countries.

Methods: Following the PRISMA statement, we searched MEDLINE and EMBASE for all peer-reviewed articles using keywords including "international medical graduates," "foreign medical graduates," or "transition," from their inception to December 21st, 2022.

Results: In this review, we included 20 articles, comprising 17 descriptive studies and three quasi-experimental studies. These studies highlight the challenges centered around communication skills and languages including the use and meaning of slang, health system differences, cultural distinctions such as varying patient expectations, and the prevalence of biases and preconceived notions about IMGs.

Conclusion: This systematic review summarizes the current evidence related to IMGs' transition into healthcare systems in English-speaking countries. Despite the limited quality of available studies, several common issues were identified, including communication skills and language proficiency, cultural understanding, and system-related themes. To improve the experiences of IMGs and the quality of patient care, clinical educators, and residency program leaders may need to provide targeted needs assessments, focused orientations, and year-round programs.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-024-02126-5.

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导航新领域：英语国家国际医学毕业生过渡经验的系统回顾。

目的：总结与英语国家医疗保健系统中国际医学毕业生（IMGs）的经历和挑战相关的证据。方法：根据PRISMA声明，我们在MEDLINE和EMBASE检索所有同行评议的文章，关键词包括“国际医学毕业生”、“外国医学毕业生”或“过渡”，从他们成立到2022年12月21日。结果：在本综述中，我们纳入了20篇文章，包括17项描述性研究和3项准实验性研究。这些研究突出了以沟通技巧和语言为中心的挑战，包括俚语的使用和含义、卫生系统差异、患者期望等文化差异，以及关于img的偏见和先入为主的观念的普遍存在。结论：本系统综述总结了目前与img进入英语国家医疗保健系统相关的证据。尽管现有研究的质量有限，但确定了几个共同问题，包括沟通技巧和语言熟练程度，文化理解和系统相关主题。为了提高img的经验和病人护理的质量，临床教育工作者和住院医师项目负责人可能需要提供有针对性的需求评估、重点指导和全年项目。补充资料：在线版本提供补充资料，网址为10.1007/s40670-024-02126-5。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medical Science Educator Social Sciences-Education

CiteScore

2.90

自引率

11.80%

发文量

202

期刊介绍： Medical Science Educator is the successor of the journal JIAMSE. It is the peer-reviewed publication of the International Association of Medical Science Educators (IAMSE). The Journal offers all who teach in healthcare the most current information to succeed in their task by publishing scholarly activities, opinions, and resources in medical science education. Published articles focus on teaching the sciences fundamental to modern medicine and health, and include basic science education, clinical teaching, and the use of modern education technologies. The Journal provides the readership a better understanding of teaching and learning techniques in order to advance medical science education.