(Dis)orientation of international medical graduates: an approach to foster teaching, learning, and collaboration (TLC)

Acad Psychiatry. 2013 Mar 1;37(2):104-7. doi: 10.1176/appi.ap.11040074.

Abstract

Objective: The Teaching for Learning and Collaboration (TLC) Program is a teaching-skills program focusing on methods to improve student learning. This program was adopted to address the professional and personal challenges faced by International Medical Graduates (IMGs) completing a fellowship in psychosomatic medicine.

Method: The authors conducted a literature review on the educational challenges encountered by IMGs. Based on this review, an adapted TLC Program was piloted on four IMG fellows who completed a psychosomatic medicine fellowship between 2008 and 2011.

Results: Teachers using the adapted TLC Program reported the following as being significant in the IMG training process: a safe educational environment; having an extended period of time for assessment and fellow adjustment; and more direct, rather than "diplomatic," feedback.

Conclusions: Although piloted in a psychosomatic medicine fellowship, the TLC program is intended to be generalizable to other medical training settings. Further evaluation of the effectiveness of this approach for IMGs is required.

MeSH terms

  • Adaptation, Psychological*
  • Fellowships and Scholarships / methods*
  • Foreign Medical Graduates / psychology*
  • Humans
  • Internship and Residency / methods*
  • Ontario
  • Pilot Projects
  • Program Evaluation
  • Psychosomatic Medicine / education*