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Artykuły w czasopismach na temat "Overseas-trained doctors"
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Leaver, Laurence. "Overseas-trained refugee doctors". Medical Education 37, nr 1 (styczeń 2003): 77. http://dx.doi.org/10.1046/j.1365-2923.2003.00022.x.
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Van Der Weyden, Martin B., i Mabel Chew. "Arriving in Australia: overseas‐trained doctors". Medical Journal of Australia 181, nr 11-12 (grudzień 2004): 633–34. http://dx.doi.org/10.5694/j.1326-5377.2004.tb06495.x.
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Birrell, Robert J. "Australian policy on overseas‐trained doctors". Medical Journal of Australia 181, nr 11-12 (grudzień 2004): 635–39. http://dx.doi.org/10.5694/j.1326-5377.2004.tb06497.x.
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Kidd, Michael R., i Arthur Zulman. "Educational support for overseas‐trained doctors". Medical Journal of Australia 160, nr 2 (styczeń 1994): 73–75. http://dx.doi.org/10.5694/j.1326-5377.1994.tb126517.x.
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Webster, Ian W., i Ralph W. Rawlinson. "Innovative bridging program for overseas trained doctors". Medical Journal of Australia 155, nr 8 (październik 1991): 553–56. http://dx.doi.org/10.5694/j.1326-5377.1991.tb93894.x.
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Rao, K. H. "Innovative bridging program for overseas trained doctors". Medical Journal of Australia 156, nr 1 (styczeń 1990): 71. http://dx.doi.org/10.5694/j.1326-5377.1992.tb126406.x.
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Cheung, C. Ronny. "NHS induction and support programme for overseas-trained doctors". Medical Education 45, nr 5 (12.04.2011): 531–32. http://dx.doi.org/10.1111/j.1365-2923.2011.03960.x.
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Cordner, Stephen, i Kathy Ettershank. "Overseas-trained doctors allowed places in Australian medical schools". Lancet 351, nr 9104 (marzec 1998): 734. http://dx.doi.org/10.1016/s0140-6736(05)78511-1.
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Moynihan, R. "Australia launches inquiry into treatment of overseas trained doctors". BMJ 341, nr 25 2 (25.11.2010): c6780. http://dx.doi.org/10.1136/bmj.c6780.
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McGrath, Barry P. "Integration of overseas‐trained doctors into the Australian medical workforce". Medical Journal of Australia 181, nr 11-12 (grudzień 2004): 640–42. http://dx.doi.org/10.5694/j.1326-5377.2004.tb06498.x.
Pełny tekst źródłaRozprawy doktorskie na temat "Overseas-trained doctors"
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Farooq, Ghazala Yasmin. "Identity, migration, community cohesion and healthcare : a study of overseas-trained South Asian doctors in England and Wales". Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/identity-migration-community-cohesion-and-healthcarea-study-of-overseastrained-south-asian-doctors-in-england-and-wales(afbaa80b-caf2-42ea-a9a3-2c4340102c53).html.
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Community cohesion in Britain has been an issue of policy concern in recent years in which the role of migrants in the UK has been scrutinised in terms of their sense of belonging, integration and their economic and social contribution to society. However, much of the existing literature, in this area relates to the experiences of low/unskilled labour migrants. This thesis redresses this imbalance and examines the experiences of overseas-trained South Asian doctors. It provides unique insights into the debates about integration, cultural identity and community cohesion based on an empirical study of overseas-trained South Asian General Practitioners who are elite migrants. A mixed method approach was employed that included secondary data analysis of the GP Workforce Statistics and in-depth interviews with 27 overseas-trained South Asian doctors in three different geographical locales in England with varying ethnic populations. The quantitative analysis shows that a significant and increasing proportion of NHS doctors continue to be overseas-trained South Asian doctors. It also provides evidence of geographical clustering with South Asian doctors being over represented in deprived areas with high and low ethnic minority concentrations. The case studies and interviews with the GPs reveal a complex intertwining of macro-, micro- and meso- structures in the migratory process, related, in part, to the legacy of empire and also to the inner workings and opportunities provided by an organisation such as the NHS. In order to overcome blocked social mobility within the NHS hospital structure, entry into General Practice appears to be an entrepreneurial step for overseas-trained South Asian doctors, also facilitated by regional NHS institutional structures like Primary Care Trusts. Evidence shows that doctors have integrated their cultural/religious values creatively in their adaptation to Britain importing innovation into their everyday experiences. The findings show that there are parallels to be drawn with the experiences of low/unskilled South Asians, in particular, in the area of structural integration. However, there is variation as to how these elite professionals approach issues related to socio-cultural integration thus adding a new dimension to our existing understanding of community cohesion in the UK.
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Mpofu, Charles. "Immigrant medical practitioners' experience of seeking New Zealand registration a participatory study : a thesis submitted to Auckland University of Technology in partial fulfilment of the requirements of the degree of Master of Health Science, 2007". Click here to access this resource online, 2007. http://hdl.handle.net/10292/404.
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This qualitative modified participatory study underpinned by social critical theory explored the experiences of immigrant medical practitioners seeking registration in New Zealand. The occupational science notions of occupation, occupational deprivation and occupational apartheid were used to understand the experiences of the participants. The objective of the study was to understand the experiences of the participants and facilitate their self-empowerment through facilitated dialogue, affording them opportunities for collective action. Data was obtained through in-depth interviews and focus group discussions with eighteen immigrant medical practitioners who were doctors and dentists as well as two physiotherapists. The two physiotherapists were sampled out of necessity to explore diversity in findings. Transcripts were analysed using thematic analysis. This method included the processes of coding data into themes and then collapsing themes into major themes which were organised under categories. Four categories were created in the findings describing the experiences of immigrant practitioners and suggesting solutions. Firstly; findings revealed that immigrant medical practitioners had a potential worth being utilised in New Zealand. Secondly; it was found that these participants faced negative and disabling experiences in the process of being registered. Thirdly; the emotional consequences of the negative experiences were described in the study. Fourthly; there were collectively suggested solutions where the participants felt that their problems could be alleviated by support systems modelled in other Western English speaking countries that have hosted high numbers of immigrant medical practitioners from non-English speaking countries. This collective action was consistent with the emancipatory intent of participatory research informed by social critical theory. This study resulted in drawing conclusions about the implications of the participants’ experiences to well-being, occupational satisfaction as well as diverse workforce development initiatives. This study is also significant in policy making as it spelt out the specific problems faced by participants and made recommendations on what can be done to effectively utilise and benefit from the skills of immigrant medical practitioners. A multi-agency approach involving key stakeholders from the government departments, regulatory authorities, medical schools and immigrant practitioners themselves is suggested as a possible approach to solving the problems faced by these practitioners.
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Laurence, Caroline Olivia Mary. "Overseas trained doctors in rural and remote Australia: do they practise differently from Australian trained doctors?" 2008. http://hdl.handle.net/2440/49903.
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Over the last seven years the recruitment of overseas trained doctors (OTDs) has formed a significant part of Australia’s policy to address the medical workforce issue of geographic maldistribution to ensure that communities in rural and remote Australia have access to adequate general practice (GP) services. This policy has not been without problems, particularly in the areas of assessment of skills and qualifications, appropriate orientation and integration into Australian communities, and retention of these doctors within rural and remote communities. To date there has been little evidence-based research on the role of OTDs in the medical workforce in Australia. This study explores the service provision and quality of care provided by OTDs using the 5 Year OTD Scheme as the case study. In doing so, it assesses the adequacy of this strategy and discusses the implications for future workforce policies and programs. A mixed method design was used in the study. The quantitative component involved secondary analysis of Medicare Australia data for all OTDs participating in the 5 Year OTD Scheme in 2002 and all Australian trained doctors (ATDs) practising in rural and remote Australia in the same year. A log Poisson regression model was used to assess the interactive effect of the various GP characteristics, such as age, sex, experience and practice location with OTD/ATD status on the rate of a particular service item per patient, adjusted for patient age and sex. The qualitative component involved two focus groups with OTDs which were used to help explain the relationships between variables found in the quantitative component of the study. Template analysis was used to identify themes from the focus group. Significantly different rates per patient between OTDs and ATDS were found across most service items and GP characteristics examined. The greatest variation was found among items relating to in-surgery consultations and non-surgery consultations such as nursing home visits. Fewer differences were found between groups relating to pathology, imaging or procedural services. Analysis of surrogate quality items identified few differences between OTDs and ATDs. The focus group identified a number of other factors that influenced their patterns of service and accounted for some of the differences identified in the quantitative analysis. These factors included knowledge of the health care system in Australia, cultural and communication influences, health conditions of patients, patient and community attitudes, remuneration influences and training influences. These had varying degrees of influence on their patterns of service. The reasons for the differences found between OTDs and ATDs are partially explained by the characteristics of the GPs examined and partially explained by other external influences that relate to the particular circumstances of the OTDs, such as knowledge of the Australian health care system and cultural and communication issues. Understanding the nature of practice is central to ensuring appropriate professional support measures. The study findings highlight the need for a targeted training program for OTDs that address the areas that have the greatest influence on patterns of service to ensure that rural and remote communities receive the same quality of service from OTDs as provided by ATDs.http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1320385
Thesis (Ph.D.) - University of Adelaide, School of Population Health and Clinical Practice, 2008
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Laurence, Caroline Olivia Mary. "Overseas trained doctors in rural and remote Australia: do they practise differently from Australian trained doctors?" Thesis, 2008. http://hdl.handle.net/2440/49903.
Pełny tekst źródłaStreszczenie:
Over the last seven years the recruitment of overseas trained doctors (OTDs) has formed a
significant part of Australia’s policy to address the medical workforce issue of geographic
maldistribution to ensure that communities in rural and remote Australia have access to
adequate general practice (GP) services. This policy has not been without problems,
particularly in the areas of assessment of skills and qualifications, appropriate orientation and
integration into Australian communities, and retention of these doctors within rural and
remote communities.
To date there has been little evidence-based research on the role of OTDs in the medical
workforce in Australia. This study explores the service provision and quality of care provided
by OTDs using the 5 Year OTD Scheme as the case study. In doing so, it assesses the
adequacy of this strategy and discusses the implications for future workforce policies and
programs.
A mixed method design was used in the study. The quantitative component involved
secondary analysis of Medicare Australia data for all OTDs participating in the 5 Year OTD
Scheme in 2002 and all Australian trained doctors (ATDs) practising in rural and remote
Australia in the same year. A log Poisson regression model was used to assess the interactive
effect of the various GP characteristics, such as age, sex, experience and practice location
with OTD/ATD status on the rate of a particular service item per patient, adjusted for patient
age and sex.
The qualitative component involved two focus groups with OTDs which were used to help
explain the relationships between variables found in the quantitative component of the study.
Template analysis was used to identify themes from the focus group.
Significantly different rates per patient between OTDs and ATDS were found across most
service items and GP characteristics examined. The greatest variation was found among
items relating to in-surgery consultations and non-surgery consultations such as nursing home
visits. Fewer differences were found between groups relating to pathology, imaging or
procedural services. Analysis of surrogate quality items identified few differences between
OTDs and ATDs.
The focus group identified a number of other factors that influenced their patterns of service
and accounted for some of the differences identified in the quantitative analysis. These
factors included knowledge of the health care system in Australia, cultural and
communication influences, health conditions of patients, patient and community attitudes,
remuneration influences and training influences. These had varying degrees of influence on
their patterns of service.
The reasons for the differences found between OTDs and ATDs are partially explained by the
characteristics of the GPs examined and partially explained by other external influences that
relate to the particular circumstances of the OTDs, such as knowledge of the Australian health
care system and cultural and communication issues. Understanding the nature of practice is
central to ensuring appropriate professional support measures. The study findings highlight
the need for a targeted training program for OTDs that address the areas that have the greatest
influence on patterns of service to ensure that rural and remote communities receive the same
quality of service from OTDs as provided by ATDs.Thesis (Ph.D.) - University of Adelaide, School of Population Health and Clinical Practice, 2008
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McFayden, Lisa. "An examination of the structural and political barriers preventing permanent resident overseas-trained doctors from working as general practitioners in rural New South Wales". Thesis, 2008. http://hdl.handle.net/1959.13/29762.
Pełny tekst źródłaStreszczenie:
Research Doctorate - Doctor of PhilosophyThis thesis explores the barriers that are preventing large numbers of permanent resident overseas-trained doctors (PROTDs) from working as general practitioners (GPs) in rural New South Wales (NSW). It focuses specifically on doctors from non-English speaking backgrounds who are permanent residents of Australia or Australian citizens, and who migrated to Australia for reasons other than employment. This thesis explores the views and perceptions of PROTDs and does not specifically consider the views of other stakeholders. Archival, qualitative and quantitative research techniques have been used to determine the suitability of the policies and practices governing the appointment and registration of PROTDs in NSW, and to identify any policy changes required. This research demonstrates that the policies governing medical registration in NSW have frequently been driven by political factors, and have, at times, been used to control the size of the medical workforce. As a consequence of these policies, many PROTDs have been prevented from working as a doctor in NSW. Of particular concern is the lack of training or clinical experience available to PROTDs and their difficulties preparing for, and passing, the Australian Medical Council (AMC) examinations. The lack of accurate information regarding the requirements and opportunities for medical practice in NSW is also a major problem. PROTDs in NSW are unable to get the training and support they need to meet the requirements for medical registration in NSW and are rapidly losing their confidence, and their clinical skills. Not all PROTDs are going to have, or be able to acquire, the skills and knowledge required for general practice in rural NSW. However the need for additional doctors is sufficiently great to warrant a proactive approach from governments and relevant agencies. In the seven years it has taken to complete this research, most of the discriminatory aspects of the assessment and registration of PROTDs in NSW have been removed. However the legacy of previous policies and practices remains and a large number of PROTDs remain out of the medical workforce.
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McFayden, Lisa. "An examination of the structural and political barriers preventing permanent resident overseas-trained doctors from working as general practitioners in rural New South Wales". 2008. http://hdl.handle.net/1959.13/29762.
Pełny tekst źródłaStreszczenie:
Research Doctorate - Doctor of PhilosophyThis thesis explores the barriers that are preventing large numbers of permanent resident overseas-trained doctors (PROTDs) from working as general practitioners (GPs) in rural New South Wales (NSW). It focuses specifically on doctors from non-English speaking backgrounds who are permanent residents of Australia or Australian citizens, and who migrated to Australia for reasons other than employment. This thesis explores the views and perceptions of PROTDs and does not specifically consider the views of other stakeholders. Archival, qualitative and quantitative research techniques have been used to determine the suitability of the policies and practices governing the appointment and registration of PROTDs in NSW, and to identify any policy changes required. This research demonstrates that the policies governing medical registration in NSW have frequently been driven by political factors, and have, at times, been used to control the size of the medical workforce. As a consequence of these policies, many PROTDs have been prevented from working as a doctor in NSW. Of particular concern is the lack of training or clinical experience available to PROTDs and their difficulties preparing for, and passing, the Australian Medical Council (AMC) examinations. The lack of accurate information regarding the requirements and opportunities for medical practice in NSW is also a major problem. PROTDs in NSW are unable to get the training and support they need to meet the requirements for medical registration in NSW and are rapidly losing their confidence, and their clinical skills. Not all PROTDs are going to have, or be able to acquire, the skills and knowledge required for general practice in rural NSW. However the need for additional doctors is sufficiently great to warrant a proactive approach from governments and relevant agencies. In the seven years it has taken to complete this research, most of the discriminatory aspects of the assessment and registration of PROTDs in NSW have been removed. However the legacy of previous policies and practices remains and a large number of PROTDs remain out of the medical workforce.
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McNamara, Timothy Francis. "Assessing the second language proficiency of health professionals". 1990. http://repository.unimelb.edu.au/10187/7110.
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This thesis reports on the development of an Australian Government English as a Second Language test for health professionals, the Occupational English Test (OET) , and its validation using Rasch Item Response Theory models.The test contains sub-tests of the four macroskills, each based on workplace communication tasks. The thesis reports on the creation of test specifications, the trial ling of test materials and the analysis of data from full test sessions.
The main research issues dealt with are as follows:
1. The nature of the constructs involved in communicative language testing. The term proficiency is analysed, and its relationship to a number of models of communicative competence examined. The difficulty of incorporating into these models factors underlying test performance is identified.
2. The nature of performance tests. A distinction is introduced between strong and weak senses of the term performance test, and related to the discussion in 1 above.
3. The content validity of the OET. This is established on the basis of a questionnaire survey, interviews, examination of relevant literature, workplace observation and test data.
4. The role of classical and Rasch IRT analysis in establishing the qualities of the test. Classical and Rasch IRT analyses are used to establish the basic reliability of the OET sub-tests. The Writing sub-test is shown to be somewhat problematic for raters because of the nature of the writing task involved. Analysis of data from the Reading subtest demonstrates the superiority of the Rasch analysis in the creation of short tests with a specific screening function.
5. The role of Rasch IRT analysis in investigating the construct and content validity of the test and hence of communicatively-oriented tests in general. Rasch analysis reveals that the sub-tests are satisfactory operationalizations of the constructs 'ESL listening/ speaking/ reading/ writing ability in health professional contexts. For the Speaking and Writing sub-tests, the analysis reveals that responses of raters in categories associated with perceptions of grammatical accuracy have a more important role in the determination of the candidate's total score than was anticipated in the design of the test. This finding has implications for the validity of communicatively oriented tests in general, and illustrates the potential of IRT analysis for the investigation of the construct validity of tests.
6. The appropriateness of the use of Rasch IRT in the analysis of language tests. The nature of the debate about 'unidimensionality' in Rasch analysis is reviewed. It is argued that the issue has been substantialy misunderstood. Data from the two parts of the Listening sub-test are analysed, and statistical tests are used to confirm the unidimensionality of the data set. It is concluded that Rasch analysis is appropriate for a language test of this type.
7. The behaviour of raters in the rating of oral and written production in a second language. The findings reported in 5 above suggest that the behaviour of raters is crucial to understanding what is being measured in a communicative test of the productive language skills.
The research demonstrates the value of Rasch IRT analysis in the empirical validation of communicatively oriented language tests, and the potential of large-scale test development projects for theoretical work on language testing.
Książki na temat "Overseas-trained doctors"
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Bradby, Hannah. Medical Migration and The Global Politics of Equality1. Edinburgh University Press, 2018. http://dx.doi.org/10.3366/edinburgh/9781474400046.003.0028.
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Employing doctors and nurses who were trained overseas has been standard practice since the inception of the British National Health Service (NHS) in 1948. However, by the twenty-first century, recruitment of doctors from Africa was being compared with the slave trade in terms of its exploitative and damaging effects: ‘current policies of recruiting doctors from poor countries are a real cause of premature death and untreated disease in those countries and actively contribute to the sum of human misery.’ The assertion that employing foreign doctors was causing poor health in those doctors’ countries of origin was echoed in two reports from global health organisations, which stressed the emigration of skilled healthcare personnel from the sub-Saharan region of Africa as being related to concomitant deterioration in populations ife expectancy and declared a ‘global health workforce crisis.
Części książek na temat "Overseas-trained doctors"
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Burnand, Jo. "Overseas trained doctors". W Becoming a Doctor, 174–79. Elsevier, 2007. http://dx.doi.org/10.1016/b978-0-7295-3758-2.50012-5.
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"8. “Without racism there would be no geriatrics”: South Asian Overseas-Trained Doctors and the Development of Geriatric Medicine in the United Kingdom, 1950–2000". W Doctors beyond Borders, 185–207. University of Toronto Press, 2016. http://dx.doi.org/10.3138/9781442629622-011.
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"The International Crisis of World War II and the Differential Treatment of Overseas-Trained Doctors, 1933–48". W Fit to Practice, 80–102. Boydell & Brewer, 2017. http://dx.doi.org/10.2307/j.ctvc16mn4.9.
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Zengeya, Stanley Tamuka, i Tiroumourougane V. Serane. "Effective communication in the exam". W The MRCPCH Clinical Exam Made Simple. Oxford University Press, 2011. http://dx.doi.org/10.1093/oso/9780199587933.003.0008.
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Communication is not just giving information; rather, it is a two-way process and involves the exchange of information, ideas, and knowledge. Eff ective communication is the key to success and can be achieved only if the receiver understands the exact information the sender is aiming to transfer. Medical communication is the art of speaking clearly and professionally, while reducing the possibility of being misunderstood. It will increase patient satisfaction and trust and improve understanding of treatment and compliance. Examiners consider effective communication to be the most essential skill any doctor requires to deal with the patient’s problems. The General Medical Council has highlighted the importance of communicating well by stating that ‘medical graduates must be able to communicate clearly, sensitively and effectively, not only with patients and their relatives, but also with colleagues and other healthcare professionals’. The Royal College of Paediatrics and Child Heath has put so much emphasis on communication that this is the only skill that is tested in two independent stations in the clinical examination. The College feels that a careful assessment of communication skills distinguishes the good candidates from the bad ones. Often, overseas-trained candidates and non-native English speakers find this station difficult, as they may not have grasped the basic skills of this assessment. In this station, the examiner will watch a communication scenario between the candidate and the patient’s family. It is of utmost importance to read the instructions carefully and understand them. A common mistake is to confuse this station with history taking. The examiner’s task is to observe only and not to ask any questions or make any comments on the candidate's performance. At the end of the episode, the examiner will evaluate the candidate’s performance. The key competence skills required in the communication station are given in table 2.1. Effective communication is a two-way process in which there is an exchange of thoughts, feelings, or ideas towards a mutually accepted goal. Speaking and listening are the two arms of effective communication. One cannot be an effective communicator if both speaking and listening are not mastered. Medical communication starts with speaking, which requires a sender, a message, a medium or channel, and a receiver. The sender encodes a package of information and transmits this by a medium to the receiver. Commonly used media include air, noise, signal, and paper. Content and context are the two elements of information that will be transmitted via the medium. Content is the actual words or symbols. Context is the way the message is delivered, that is the non-verbal components such as body language, facial expressions, posture, gestures, eye contact, and state of emotion. During communication, context is extremely important as it helps the patient and the doctor to understand one another. On receiving the message, the recipient decodes it and can give the sender feedback (figure 2.1).