{"pk":17078,"title":"Exploring Teamwork Challenges Perceived by International Medical Graduates in Emergency Medicine Residency","subtitle":null,"abstract":"Introduction: Non-US international medical graduates (IMG) represent a gradually increasing portion of emergency medicine (EM) residents in the United States. Yet there are no previous studies that explore the needs of this learner population. We conducted a qualitative study to examine non-US IMGs’ perceptions of challenges they face specifically regarding team dynamics during their first year of an EM residency.\nMethod: Nine non-US IMGs in EM from all over the US participated in anonymous, semi-structured phone interviews lasting 45-60 minutes. We then coded and analyzed the interviews to identify axes and themes using an inductive approach informed by grounded theory. Focused coding and member checking were employed.\nResults: Non-US IMGs’ perceptions of challenges regarding team dynamics during their first year of an EM residency coalesced into two themes: system-based challenges, such as a new power dynamic and understanding the local hospital system, and interpersonal challenges, such as establishing rapport and articulation of critical thinking.\nConclusion: Non-US IMGs perceived several unique challenges regarding team dynamics during their first year of an EM residency, whether system-based or interpersonal-based. We propose solutions such as a transitional curriculum (as suggested by the participants as well) and cultural-competence training for academic leadership.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Communication"},{"word":"cultural competence"},{"word":"expectations"},{"word":"Feedback"},{"word":"team dynamics"},{"word":"transition"}],"section":"Education Special Issue - Original Research (Limit 3500 words)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/15r9m4p4","frozenauthors":[{"first_name":"Danya","middle_name":"","last_name":"Khoujah","name_suffix":"","institution":"Tampa AdventHealth, Emergency Medicine, Tampa, Florida; University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland","department":"None"},{"first_name":"Ahmed","middle_name":"","last_name":"Ibrahim","name_suffix":"","institution":"Johns Hopkins University, School of Education, Baltimore, Maryland","department":"None"}],"date_submitted":"2022-07-11T20:21:13Z","date_accepted":"2022-07-11T20:21:13Z","date_published":"2023-01-11T08:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17078/galley/8633/download/"}]}