title: (Dis)orientation of international medical graduates: an approach to foster teaching, learning, and collaboration (TLC).
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.
  
  
  METHODS
  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.
authors.affiliation: Dept. of Psychiatry, University Health Network and Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. adrienne.tan@uhn.on.ca
authors.forename: Adrienne
authors.initials: A
authors.lastname: Tan
authors.forename: Raed
authors.initials: R
authors.lastname: Hawa
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Sockalingam
authors.forename: Susan E
authors.initials: SE
authors.lastname: Abbey
mesh_terms: D000223:Adaptation, Psychological; D005257:Fellowships and Scholarships / Q000379:methods*; D005550:Foreign Medical Graduates / Q000523:psychology*; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D009864:Ontario; D010865:Pilot Projects; D015397:Program Evaluation; D011611:Psychosomatic Medicine / Q000193:education*