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アメリカ合衆国における大学院医学教育
B D Rowley1, D C Baldwin, M B McGuire
1Department of Data Systems, American Medical Association.
JAMA
|August 15, 1990
まとめ
年間居住プログラム調査は1989年にデータ収集の変更に直面し,回答率に影響を与えました. それにもかかわらず,予測されるデータは,女性と黒人の非ヒスパニック系住民の安定した代表で,勤務中の住民の総数が5%増加することを示唆しています.
科学分野:
- 医科大学院医学教育について
- メディカル・レジデンシー・プログラム
- 医療従事者分析 医療従事者分析
背景:
- レジデンスプログラムの年間調査は,歴史的に高い応答率 (>90%) を達成しています.
- 1989年に電子データ収集システムへの移行により,回答率は78.3%低下しました.
研究 の 目的:
- 1989年の調査データに基づいて,大学院医学教育の動向を分析する.
- 回答率の低下がデータ解釈に与える影響に対処するためです.
- 復元モデルを使用して,1989年の居住データに対する推定を予測する.
主な方法:
- 1989年の数字を推定するために,前年のデータから派生した回帰モデルを使用しました.
- 報告された未充填のポジションと新入国居住者数 (GY-1) を分析した.
- 性別,民族,国際医学卒業生 (IMGs) を含む人口動態を調査した.
主要な成果:
- 1988年と比較して勤務中の住民の総数が5%増加すると予測されていますが,観測された数は低いです.
- 1985年以来,毎年空き職の増加を報告しています.
- 女性と非ヒスパニック系黒人住民の割合は安定しており,FMG住民の割合は引き続き減少しており,1987年以来,ACGMEのプログラムで骨科医を卒業した人の割合は17%増加しています.
結論:
- 1989年のデータは,在住プログラムダイナミクスの潜在的な変化を示唆しており,その中には,在住者総数と未充填のポジションの増加が含まれています.
- 人口統計の動向は,主要な居住者グループ (女性,黒人非ヒスパニック) の安定を示し,FMGの代表は減少している.
- 1989年のデータ収集の変更の影響を受けた傾向を確認するために,さらなる分析が必要である.
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