scholarly journals International sore throat guidelines and international medical graduates: a mixed methods systematic review

2016 ◽  
Vol 8 (1) ◽  
pp. 20 ◽  
Author(s):  
Karen J. Hoare ◽  
Erin Ward ◽  
Bruce Arroll

ABSTRACT AIM To examine national and international guidelines on sore throat management and subsequently, to explore the phenomenon of international medical graduates working in general and rural practice in New Zealand. METHOD Two separate systematic reviews were conducted that resulted in a contingent methodology. Contingent methodologies involve syntheses of data that are derived sequentially. The initial review for this study examined international sore throat guidelines and their key points. The results of this initial review resulted in the theory that international medical graduates may be unaware of the New Zealand specific sore throat guidelines and the problem of acute rheumatic fever in this country. The subsequent review examined the phenomenon of international medical graduates working in general or rural practice in New Zealand. Data sources were Medline, Google Scholar, Trip Database, and NHS Evidence, Embase and Scopus. Electronic databases were searched for relevant data published January 2000–December 2013. Additional hand searches found key references from articles and websites. RESULTS International guidelines for the management of sore throats differ from New Zealand guidelines. Of resource rich countries, New Zealand has the second highest number of international medical graduates: they may not use New Zealand specific sore throat guidelines. DISCUSSION Acute rheumatic fever is virtually eradicated in most resource rich countries. Rheumatic fever rates of among indigenous Māori and Pacifika people in New Zealand have failed to reduce over the last three decades. Knowledge and actions of international medical graduates in relation to sore throat management needs investigating. KEYWORDS Sore throats; acute rheumatic fever; clinical guidelines; international medical graduates; mixed methods review

2021 ◽  
Author(s):  
Hannah Kovacs

Canada's vast landscape has produced challenges in providing equitable access to healthcare for those living in rural and remote areas. Over several decades physician shortages have increasingly compromised rural communities' access to medical services. In response, provinces and territories have recruited international medical graduates (IMGs) to address these shortages. Synthesizing literature and frameworks from American, Australian and Canadian sources, this paper will explore issues related to IMG recruitment and retention to rural practice. Using an evidence-based review of the literature and data from the Canadian Residency Matching Service (CaRMS) this investigation will examine the profiles of IMGs who voluntarily pursue rural practice in hopes of identifying trends and future directions for recruitment and retention efforts.


2021 ◽  
Author(s):  
Hannah Kovacs

Canada's vast landscape has produced challenges in providing equitable access to healthcare for those living in rural and remote areas. Over several decades physician shortages have increasingly compromised rural communities' access to medical services. In response, provinces and territories have recruited international medical graduates (IMGs) to address these shortages. Synthesizing literature and frameworks from American, Australian and Canadian sources, this paper will explore issues related to IMG recruitment and retention to rural practice. Using an evidence-based review of the literature and data from the Canadian Residency Matching Service (CaRMS) this investigation will examine the profiles of IMGs who voluntarily pursue rural practice in hopes of identifying trends and future directions for recruitment and retention efforts.


2012 ◽  
Author(s):  
Alistair Wright ◽  
Melanie Regan ◽  
Cathy Haigh ◽  
Irum Sunderji ◽  
Priyanga Vijayakumar ◽  
...  

2020 ◽  
Vol 27 (4) ◽  
pp. 297-304.e1
Author(s):  
Javier A. Neyra ◽  
Maria Clarissa Tio ◽  
Silvia Ferrè

2017 ◽  
Vol 41 (4) ◽  
pp. 365 ◽  
Author(s):  
David Henderson ◽  
Pam D. McGrath ◽  
Mary Anne Patton

Objective Herein we record the experience of clinical supervisors of international medical graduates (IMGs) working as junior staff in a district hospital by examining supervisor perspectives on IMG performance, the factors affecting their performance and the requirements of supervision under these circumstances. Methods The present study had an open-ended exploratory qualitative design. Thirteen 13 open-ended, in-depth interviews were undertaken with supervisors of IMGs employed in a public district hospital in Queensland, Australia. Results The supervisors reported that, although performance was an individual and variable characteristic, IMGs tended to perform less well than Australian graduates and required more intensive supervision. Factors that affected performance were motivation and experience, and specifically lack of familiarity with the Australian healthcare system, lack of recent of practice, education, language, communication and cultural factors. English language proficiency was regarded as crucial to performance. Conclusions The additional work required to supervise IMGs in order to enable them to perform at a satisfactory level and successfully integrate into the Australian healthcare system needs to be recognised and resourced. Assistance with attaining proficiency in English and with communication skills over and above the standard required to pass the International English Language Testing System examination should be seriously considered as a means of improving performance. What is known about the topic? To date, there is little research available about the experience of supervisors of IMGs in Australia. What does this paper add? The findings of the present study make an important contribution to the literature by examining the critical role clinical supervisors of IMGs have in helping IMGs adapt to the Australian healthcare system and ensuring that they are able to provide quality health care. It identifies current challenges and highlights areas in need of attention to ensure a strong healthcare system for Australia. What are the implications for practitioners? Supervisors of IMGs need recognition of the extra time and expertise required in their role if they are to be effectively supported in their endeavours to integrate IMGs into the Australian health workforce. More attention needs to be given to the development of English language proficiency of IMGs, including colloquial usage, and communication in medical practice.


Ophthalmology ◽  
2014 ◽  
Vol 121 (4) ◽  
pp. 974-975.e2 ◽  
Author(s):  
Todd H. Driver ◽  
Allison R. Loh ◽  
Damien Joseph ◽  
Jeremy D. Keenan ◽  
Ayman Naseri

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