培训难民和寻求庇护的医生:英国REACHE计划的队列研究
Aaron Drovandi1,2, Samuel Barrett2, Jouher Kallingal2,3
1School of Medical Sciences, The University of Manchester, Manchester, UK.
BMJ open
|November 17, 2025
概括
难民和寻求庇护者 (RAS) 医生可以通过REACHE等专业计划成功重新获得资格. 这些计划将RAS医生整合到英国医疗工作人员中,以经验丰富的专业人员增强国家卫生服务.
科学领域:
- 医学教育 医学教育
- 医疗保健劳动力发展工作人员
- 国际医学毕业生国际医学毕业生
背景情况:
- 难民和寻求庇护者 (RAS) 医生在新国家的医疗登记面临重大障碍.
- 专门的支持计划对于RAS医生来说至关重要,以导航复杂的注册流程.
- 关于支持RAS医生的计划有效性的公布证据有限.
研究的目的:
- 描述难民和寻求庇护者医疗保健专业人员教育中心 (REACHE) 计划的成果.
- 评估英国RAS医生的综合培训计划的有效性.
- 评估REACHE对RAS医生的医疗登记和职业发展的影响.
主要方法:
- 未来的队列研究设计.
- 涉及607名被录取到REACHE计划的博士生,在一个教育中心.
- 追踪学习者特征,学习旅程 (持续时间,通过率) 和校友成果 (注册,专业,实践地点).
主要成果:
- 在与REACHE联系之前,RAS医生平均有6.4年的临床经验,到达后平均有1.3年的临床经验.
- 在职业语言和临床检查中观察到高首次通过率 (≥85%).
- 超过51.8%的校友完成了该计划 (中位数为2.1年),并获得了实践和NHS就业的注册;23.2%的早期离职者也获得了注册.
结论:
- 像REACHE这样的再培训计划在支持RAS医生的再培训方面是有效的.
- 这些计划为英国的医疗劳动力提供了经验丰富的专业人员.
- 改进的转诊途径,可持续的资金和整合到卫生工作人员策略中可以提高计划的成功.
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