Behavioral Science Education and the International Medical Graduate

Rao, Nyapati R.; Rao, Uttam K.; Cooper, Richard A.

doi:10.1097/00001888-200602000-00015

Cited by 67 publications

(60 citation statements)

References 4 publications

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“…14 Russian doctors were more likely than their Swedish and German counterparts to resuscitate against the patient's wishes in a hypothetical situation and reported less difficulty in decision-making. 15 Studies reporting the experiences of international medical graduates (IMGs) integrating into different cultures identify a range of themes including lack of knowledge of healthcare systems and regulatory frameworks in the new country, 16 -18 difficulties in communication, 19,20 differences in cultural perspectives on family life 21 and concepts of disease, 22 different approaches to teaching and learning, 20 and different models of the doctor-patient relationship. 21 In view of the reliance of the UK health system on large numbers of non-UK-qualified doctors it is important to consider the possible impact of these findings in the UK.…”

Section: Introductionmentioning

confidence: 99%

Experiences of non-UK-qualified doctors working within the UK regulatory framework: a qualitative study

et al. 2012

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Objective To explore the experience of non-UK-qualified doctors in working within the regulatory framework of the General Medical Council (GMC) document Good Medical Practice. Design Individual interviews and focus groups. Setting United Kingdom. Participants Non-UK-qualified doctors who had registered with the GMC between 1 April 2006 and 31 March 2008, doctors attending training/induction programmes for non-UK-qualified doctors, and key informants involved in training and support for non-UK-qualified doctors. Main outcome measures Themes identified from analysis of interview and focus group transcripts. Results Information and support for non-UK qualified doctors who apply to register to work in the UK has little reference to the ethical and professional standards required of doctors working in the UK. Recognition of the ethical, legal and cultural context of UK healthcare occurs once doctors are working in practice. Non-UK qualified doctors reported clear differences in the ethical and legal framework for practising medicine between the UK and their country of qualification, particularly in the model of the doctor–patient relationship. The degree of support for non-UK-qualified doctors in dealing with ethical concerns is related to the type of post they work in. European doctors describe similar difficulties with working in an unfamiliar regulatory framework to their non-European colleagues. Conclusions Non-UK-qualified doctors experience a number of difficulties related to practising within a different ethical and professional regulatory framework. Provision of information and educational resources before registration, together with in-practice support would help to develop a more effective understanding of GMP and its implications for practice in the UK.

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Section: Introductionmentioning

confidence: 99%

Experiences of non-UK-qualified doctors working within the UK regulatory framework: a qualitative study

et al. 2012

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“…This may be attributed to differences in expectations regarding rapport building, power dynamics, and/or less emphasis on patient-physician communication skills during training. [11][12][13] We did not determine the actual location of medical school training for IMG residents. Residents who train at medical schools in the Caribbean, for example, have more exposure to clinical rotations in the United States, thus increasing awareness of expectations of patients in US settings.…”

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confidence: 99%

Assessing Family Medicine Residents' Communication Skills From the Patient's Perspective: Evaluating the Communication Assessment Tool

Myerholtz¹

2014

Journal of Graduate Medical Education

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Background The Communication Assessment Tool (CAT), a paper-based patient survey, is 1 method to assess residents' interpersonal and communication skills. To further enhance the interpretation of the CAT, benchmark data are needed. Objective We sought to expand upon initial benchmarking data for the use of the CAT as an evaluation tool in family medicine residency programs. Methods Data were collected on 120 residents from 7 family medicine residency programs. Following an appointment with a resident, 1703 patients completed the CAT. Results The overall mean percentage of items rated as excellent was 73%. Significant differences were found in the overall percentage of items rated as “excellent” based on location of training (78% US graduate versus 71% international medical graduate) and native language of the resident (76% English speaking versus 69% non-English speaking). There were no significant differences found in the overall percentage of items rated as excellent based on the year of training or sex of the residents. Conclusions These benchmarking data allow family medicine residency programs to compare the performance of their residents with other programs. The CAT can be used as an evaluation and a learning tool in family medicine and may be applicable to other specialties.

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“…2 There is evidence that IMGs may manage patients differently than their North American-educated colleagues, particularly for mental health-related problems. 3,4 IMGs have been less successful on national licensing examinations. 5,6 Variability in medical school training, including required clerkship experiences, training sites, and special topics, is likely to account for some of these differences.…”

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confidence: 99%