米国の大学院医学教育,2004年~2005年:初等医療専門分野におけるトレンド
Sarah E Brotherton1, Paul H Rockey, Sylvia I Etzel
1Division of Graduate Medical Education, American Medical Association, Chicago, Ill 60610, USA. sarah.brotherton@ama-assn.org
JAMA
|September 8, 2005
まとめ
プライマリーケア専門医の数は停滞しており,サブスペシャリティーの訓練を続ける医師の割合が増加しています. 将来のプライマリケア医師は,ますます女性,国際医学卒業生,そして骨科医医学部卒業生になります.
科学分野:
- 医療教育 医療教育について
- 公共衛生 労働力計画 公共衛生 労働力計画
背景:
- プライマリケアスペシャリティは,過去10年間で変動する人気を誇っています.
- 将来のプライマリケア労働力の動向を理解することは,人口の健康計画において極めて重要です.
研究 の 目的:
- 9年間の1次医療専門医の医師の特徴を分析する.
- より広範な大学院医学教育 (GME) の居住人口内の傾向を特定する.
主な方法:
- 2004-2005年の全国GME国勢調査データを活用した記述的調査研究.
- レジデントとプログラムの特徴に関する8246のアロパシーGMEプログラムから収集されたデータ.
- プログラムディレクターは,アクティブレジデントの97.3%の地位を確認しました.
主要な成果:
- 研修中の医師の総数は,2004~2005年に記録的な水準に達した.
- 米国生まれのファミリー・メディシン・レジデントの数は著しく減少したが,初等医療における国際医学卒業生 (IMG) はほぼ2倍になった.
- 主要介護の専門分野は,ますます女性 (52.5%) で構成されており,産婦人科で顕著な進歩が見られます.
結論:
- 医者の関心は,サブスペシャリティーの訓練にシフトしており,これはプライマリケア在住者数の平準化につながっています.
- 将来のプライマリケア労働力の予測は,女性医師,IMG,および骨科医医学部卒業生 (DO) の増加を示しています.
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