TY - JOUR
T1 - Reconfiguring a One-Way Street
T2 - A Position Paper on Why and How to Improve Equity in Global Physician Training
AU - Hudspeth, James C.
AU - Rabin, Tracy L.
AU - Dreifuss, Bradley A.
AU - Schaaf, Mylo
AU - Lipnick, Michael S.
AU - Russ, Christiana M.
AU - Autry, Amy Meg
AU - Pitt, Michael B.
AU - Rowthorn, Virginia
N1 - Publisher Copyright:
© 2019 by the Association of American Medical Colleges.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - Large numbers of U.S. physicians and medical trainees engage in hands-on clinical global health experiences abroad, where they gain skills working across cultures with limited resources. Increasingly, these experiences are becoming bidirectional, with providers from low- and middle-income countries traveling to experience health care in the United States, yet the same hands-on experiences afforded stateside physicians are rarely available for foreign medical graduates or postgraduate trainees when they arrive. These physicians are typically limited to observership experiences where they cannot interact with patients in most U.S. institutions. In this article, the authors discuss this inequity in global medical education, highlighting the shortcomings of the observership training model and the legal and regulatory barriers prohibiting foreign physicians from engaging in short-term clinical training experiences. They provide concrete recommendations on regulatory modifications that would allow meaningful short-term clinical training experiences for foreign medical graduates, including the creation of a new visa category, the designation of a specific temporary licensure category by state medical boards, and guidance for U.S. host institutions supporting such experiences. By proposing this framework, the authors hope to improve equity in global health partnerships via improved access to meaningful and productive educational experiences, particularly for foreign medical graduates with commitment to using their new knowledge and training upon return to their home countries.
AB - Large numbers of U.S. physicians and medical trainees engage in hands-on clinical global health experiences abroad, where they gain skills working across cultures with limited resources. Increasingly, these experiences are becoming bidirectional, with providers from low- and middle-income countries traveling to experience health care in the United States, yet the same hands-on experiences afforded stateside physicians are rarely available for foreign medical graduates or postgraduate trainees when they arrive. These physicians are typically limited to observership experiences where they cannot interact with patients in most U.S. institutions. In this article, the authors discuss this inequity in global medical education, highlighting the shortcomings of the observership training model and the legal and regulatory barriers prohibiting foreign physicians from engaging in short-term clinical training experiences. They provide concrete recommendations on regulatory modifications that would allow meaningful short-term clinical training experiences for foreign medical graduates, including the creation of a new visa category, the designation of a specific temporary licensure category by state medical boards, and guidance for U.S. host institutions supporting such experiences. By proposing this framework, the authors hope to improve equity in global health partnerships via improved access to meaningful and productive educational experiences, particularly for foreign medical graduates with commitment to using their new knowledge and training upon return to their home countries.
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U2 - 10.1097/ACM.0000000000002511
DO - 10.1097/ACM.0000000000002511
M3 - Article
C2 - 30398990
AN - SCOPUS:85063934644
SN - 1040-2446
VL - 94
SP - 482
EP - 489
JO - Academic medicine : journal of the Association of American Medical Colleges
JF - Academic medicine : journal of the Association of American Medical Colleges
IS - 4
ER -