Cargando…

Early career experiences of international medical program graduates: An international, longitudinal, mixed-methods study

INTRODUCTION: Increasingly medical students pursue medical education abroad. Graduates from International Medical Programs (IMPs) practice globally, yet how to prepare students for an unknown international environment is complex. Following IMP graduates throughout their early careers, this study off...

Descripción completa

Detalles Bibliográficos
Autores principales: Brouwer, Emmaline E., van Rossum, Tiuri R., Frambach, Janneke M., Driessen, Erik W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bohn Stafleu van Loghum 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9582102/
https://www.ncbi.nlm.nih.gov/pubmed/35881305
http://dx.doi.org/10.1007/s40037-022-00721-z
_version_ 1784812761362989056
author Brouwer, Emmaline E.
van Rossum, Tiuri R.
Frambach, Janneke M.
Driessen, Erik W.
author_facet Brouwer, Emmaline E.
van Rossum, Tiuri R.
Frambach, Janneke M.
Driessen, Erik W.
author_sort Brouwer, Emmaline E.
collection PubMed
description INTRODUCTION: Increasingly medical students pursue medical education abroad. Graduates from International Medical Programs (IMPs) practice globally, yet how to prepare students for an unknown international environment is complex. Following IMP graduates throughout their early careers, this study offers insights into gaps in current undergraduate education. METHODS: In this international, longitudinal, mixed-methods study, 188 graduates from seven IMPs completed baseline surveys on career choice and job preparedness. Forty-two participants completed follow-up until three years after graduation. Nine graduates participated in semi-structured interviews on individual experiences and the evolution of their perspectives. The multiphase, sequential design allowed data collected at baseline to inform further data collection instruments. RESULTS: Two typical student profiles emerged. The first depicts a student who, despite the challenges of studying abroad, pursues a medical degree ‘anyhow’, with a common aim of practicing in their home country. The other deliberately selects an IMP while envisaging an international career. Two years after graduation, the majority (> 70%) of our participants were practicing in a country other than their country of training. They reported challenges around licensing, the job application process and health system familiarization. Participants’ experiences point towards potential curriculum adaptations to facilitate cross-border transitions, including career guidance, networking and entrance exam preparation. DISCUSSION: IMP graduates lack support in practical aspects of career orientation and international exposure. Most IMPs essentially prepare their graduates for a career elsewhere. Gaps and challenges that IMP graduates experience in this cross-border career transition entail a responsibility for preparation and guidance that is currently lacking in IMP curricula. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s40037-022-00721-z) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-9582102
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Bohn Stafleu van Loghum
record_format MEDLINE/PubMed
spelling pubmed-95821022022-10-21 Early career experiences of international medical program graduates: An international, longitudinal, mixed-methods study Brouwer, Emmaline E. van Rossum, Tiuri R. Frambach, Janneke M. Driessen, Erik W. Perspect Med Educ Original Article INTRODUCTION: Increasingly medical students pursue medical education abroad. Graduates from International Medical Programs (IMPs) practice globally, yet how to prepare students for an unknown international environment is complex. Following IMP graduates throughout their early careers, this study offers insights into gaps in current undergraduate education. METHODS: In this international, longitudinal, mixed-methods study, 188 graduates from seven IMPs completed baseline surveys on career choice and job preparedness. Forty-two participants completed follow-up until three years after graduation. Nine graduates participated in semi-structured interviews on individual experiences and the evolution of their perspectives. The multiphase, sequential design allowed data collected at baseline to inform further data collection instruments. RESULTS: Two typical student profiles emerged. The first depicts a student who, despite the challenges of studying abroad, pursues a medical degree ‘anyhow’, with a common aim of practicing in their home country. The other deliberately selects an IMP while envisaging an international career. Two years after graduation, the majority (> 70%) of our participants were practicing in a country other than their country of training. They reported challenges around licensing, the job application process and health system familiarization. Participants’ experiences point towards potential curriculum adaptations to facilitate cross-border transitions, including career guidance, networking and entrance exam preparation. DISCUSSION: IMP graduates lack support in practical aspects of career orientation and international exposure. Most IMPs essentially prepare their graduates for a career elsewhere. Gaps and challenges that IMP graduates experience in this cross-border career transition entail a responsibility for preparation and guidance that is currently lacking in IMP curricula. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s40037-022-00721-z) contains supplementary material, which is available to authorized users. Bohn Stafleu van Loghum 2022-07-26 2022-10 /pmc/articles/PMC9582102/ /pubmed/35881305 http://dx.doi.org/10.1007/s40037-022-00721-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Brouwer, Emmaline E.
van Rossum, Tiuri R.
Frambach, Janneke M.
Driessen, Erik W.
Early career experiences of international medical program graduates: An international, longitudinal, mixed-methods study
title Early career experiences of international medical program graduates: An international, longitudinal, mixed-methods study
title_full Early career experiences of international medical program graduates: An international, longitudinal, mixed-methods study
title_fullStr Early career experiences of international medical program graduates: An international, longitudinal, mixed-methods study
title_full_unstemmed Early career experiences of international medical program graduates: An international, longitudinal, mixed-methods study
title_short Early career experiences of international medical program graduates: An international, longitudinal, mixed-methods study
title_sort early career experiences of international medical program graduates: an international, longitudinal, mixed-methods study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9582102/
https://www.ncbi.nlm.nih.gov/pubmed/35881305
http://dx.doi.org/10.1007/s40037-022-00721-z
work_keys_str_mv AT brouweremmalinee earlycareerexperiencesofinternationalmedicalprogramgraduatesaninternationallongitudinalmixedmethodsstudy
AT vanrossumtiurir earlycareerexperiencesofinternationalmedicalprogramgraduatesaninternationallongitudinalmixedmethodsstudy
AT frambachjannekem earlycareerexperiencesofinternationalmedicalprogramgraduatesaninternationallongitudinalmixedmethodsstudy
AT driessenerikw earlycareerexperiencesofinternationalmedicalprogramgraduatesaninternationallongitudinalmixedmethodsstudy