Factors influencing medical students' decisions to remain at their alma mater for postgraduate clinical training: A cross-sectional study in Japan
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View abstract on PubMed
Summary
This summary is machine-generated.University hospitals in Japan attract fewer medical graduates for training when faculty are predominantly alumni or when hospitals are in urban areas. Rural locations and diverse faculty origins improve graduate retention for postgraduate clinical training.
Area Of Science
- Medical Education
- Health Services Research
- Physician Workforce Studies
Background
- Medical graduates in Japan increasingly choose community hospitals over university hospitals for postgraduate training.
- Understanding factors influencing this shift is vital for academic medical institutions to attract and retain talent.
Purpose Of The Study
- To examine how faculty and hospital characteristics affect medical graduates' decisions to pursue postgraduate clinical training at their alma mater in Japan.
Main Methods
- Cross-sectional study of 80 university-affiliated hospitals in Japan.
- Data sourced from hospital websites, residency matching programs, and national databases.
- Regression analyses assessed factors associated with graduates applying to their alma mater.
Main Results
- The average application rate to alma mater hospitals was 62.9%.
- A higher proportion of alumni professors correlated with fewer graduates choosing their alma mater (p=.001).
- Urban university hospitals retained fewer graduates than rural ones (p=.005).
Conclusions
- University hospitals with diverse faculty origins and rural locations are more successful in retaining graduates.
- Recruiting faculty from varied institutions and adapting training to graduate preferences can boost attractiveness.
- Addressing these factors is crucial for securing Japan's physician workforce and improving healthcare.
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