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关于国家许可国际训练外科医生没有美国居住权的公众观点
Forrest Bohler1, Aaquib Noorani1, Jesse C Selber1
1Division of Plastic and Reconstructive Surgery, Corewell Health East William Beaumont University Hospital, Royal Oak, Michigan.
JAMA surgery
|January 21, 2026
概括
大多数美国成年人支持允许国际训练有素的外科医生在没有美国居留权的情况下执业的法律. 然而,对于培训等价性,脑流失和个人护理偏好存在担忧,大多数人赞成披露和地理限制.
科学领域:
- 医疗许可证 医疗许可证
- 医生劳动力发展工作人员
- 公共卫生政策 公共卫生政策
背景情况:
- 美国有几个州现在允许国际训练有素的医生在没有医学研究生教育认证委员会认证的住所的情况下执业.
- 这一政策转变与传统的医疗许可规范有所不同.
- 公众对这些变化的看法,特别是在手术中,仍然在很大程度上是未知的.
研究的目的:
- 评估美国成年人对国家法律的看法,使国际训练有素的外科医生能够在不完成美国居住计划的情况下进行实践.
- 了解公众对外科手术劳动力短缺和国际医学毕业生的情绪.
主要方法:
- 一项横截面研究调查了1066名美国成年人通过亚马逊机械土耳其语在2025年7月.
- 一项21项调查评估了对执照法律的支持,道德问题,培训等价感和与国际训练有素外科医生的个人舒适度.
- 统计分析包括基二测试,用于基于性别和政治观点的子组比较.
主要成果:
- 85%的受访者支持国际训练有素外科医生的执照法律,预计将改善获取和多样性.
- 然而,70.8%的受访者表示对国际大脑流失的道德担忧,73.8%的受访者认为国际培训不等同于美国培训.
- 绝大多数 (78%) 的人不太可能选择接受国际培训的外科医生进行自己的手术,而94.3%的人支持强制披露培训背景.
结论:
- 美国公众普遍支持国际训练有素的外科医生获得执照,但存在重大保留.
- 关键的公众担忧包括培训透明度的需要,潜在的脑袋流失和地理实践限制.
- 政策制定者必须在实施这些法律时,平衡劳动力需求与患者安全,道德考虑和全球公平.
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