レジデンス・ポジション. 十分あるのか?
JAMA
|December 28, 1984
まとめ
1983年,アメリカの医学部卒業生1人につき,大学院1年生の職は1.3人であった. 将来の米国の卒業生数は減少すると予測されており,在留プログラムにおける外国医学の卒業生の中で米国市民の割合は上昇しています.
科学分野:
- 医療教育 医療教育について
- レジデンス研修は,レジデンス研修として行われます.
- 医科大学院医学教育について
背景:
- 博士後期1年 (PGY1) のポジションに関する正確なデータは,医師の研修経路を理解するために不可欠です.
- レジデンス研修プログラムディレクトリや国家レジデントマッチングプログラム (NRMP) のようなデータソースには不一致があります.
研究 の 目的:
- 米国在留プログラムにおけるPGY1ポジションに関するデータを提示し,分析する.
- 主要なデータソース間の位置報告の違いを強調する.
- 医者の供給とレジデンスプログラムの人口統計の将来の傾向を予測する.
主な方法:
- 認定されたレジデンスプログラムからのデータの分析.
- レジデンス研修プログラムディレクトリとNRMPから報告されたポジションの比較.
- 米国医学部卒業生数と外国医学部卒業生 (FMG) 参加の傾向の検討.
主要な成果:
- 1983年,認定プログラムでは,米国のメディカルスクール卒業生1人あたり1.3のPGY1のポジションを提供していました.
- 米国医学部卒業生の数は,今後数年で減少すると予想されています.
- 居住プログラムのFMGの総数は安定していますが,米国市民のFMGの割合は増加しています.
結論:
- 1983年の医師養成の景色は,米国の医学生のポジションと卒業生の比率に好意的であった.
- 予想される米国の卒業生の減少は,在留プログラムのダイナミクスに影響を与える可能性があります.
- FMGプール内の在住プログラムにおける米国市民の増加傾向は,注意を喚起しています.
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