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住人の起源,歴史,デザインは,住人のマッチです
1Department of Economics, Harvard University, Cambridge, Mass, USA. al_roth@harvard.edu
JAMA
|February 18, 2003
まとめ
医療インターンシップのマッチングシステムは,混沌とした初期のオファーから集中的なプログラムへと進化し,学生と病院の選択肢を改善しました. このシステムは,現在,カップルのマッチングのような複雑なニーズに対応しています.
科学分野:
- 医療教育 医療教育について
- ヘルスケア・アドミニストレーション・ヘルスケア・アドミニストレーション
- GMEマッチングプログラム
背景:
- 1900年代初頭の医療インターンとインターンシップの激しい競争は,早期のオファーの日付につながりました.
- 1940年代までに,インターンシップの申し出はジュニア年に行われ,病院はパフォーマンスデータが限られ,学生は不確実な選択をしていました.
研究 の 目的:
- 医療インターンシップの申請とマッチングプロセスの歴史的進化を記述する.
- インターンシップ・オファーを管理し,応募者と機関のための成果を改善するための集中システムの開発について説明します.
主な方法:
- 20世紀初頭から現在までのインターンシップの任命プロセスの歴史的分析.
- 分散型,早期のオファーから集中的なマッチングプログラムへの移行の検討.
主要な成果:
- 早期のインターンシップの申し出は混乱を引き起こし,病院と学生は重要な意思決定圧力に直面しました.
- プロセスを合理化するために,現在のマッチングプログラムに進化した集中クリアリングハウスが設立されました.
- マッチングアルゴリズムは,二重キャリアカップルの配置を含む,応募者のニーズの変化に対応するために,継続的に更新されています.
結論:
- 集中的なマッチングプログラムの開発は,医療インターンシップの配置におけるカオスを大幅に削減しました.
- カップルのマッチングに対応する能力を含むプログラムの適応性は,大学院医学教育における継続的な重要性を示しています.
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