1994年に研修を終えた医師の初就職状況
関連する実験動画
R S Miller1, H S Jonas, M E Whitcomb
1Department of Research and Data Analysis, American Medical Association, Chicago, IL 60610 USA.
JAMA
|March 6, 1996
まとめ
医学の大学院教育を修了した医師は,特に特定の専門分野において,フルタイムの実務職を見つけるという課題に直面しました. 難しさは様々で,新入院医の10%までが,自分の選択した分野でのポジションを確保できていない.
科学分野:
- 医療教育と研修について
- 医者の労働力分析 分析
- 医科大学院医学教育成果について
背景:
- 新たに訓練された医師のキャリア軌道を理解することは,大学院医学教育 (GME) の有効性を評価するために不可欠です.
- 医者の雇用市場は変動し,卒業生が実務職を確保する能力に影響を及ぼします.
- 1993年から1994年の学年は,医師の雇用傾向を理解することが重要な時期でした.
研究 の 目的:
- 選択された専門分野およびサブ専門分野においてGMEを修了した医師のキャリア状態を調査する.
- 新規の医師がフルタイムの実務職に就く際に直面する困難の程度を特定する.
- 医者の雇用機会における将来の傾向についての認識を評価する.
主な方法:
- 26の認定された専門分野およびサブスペシャリティのレジデンスプログラムディレクターに対して説明的調査が行われました.
- 郵送によるフォローアップ2件を含む調査は,卒業生のキャリアステータスと実習取得に関するデータを収集した.
- 1993-1994学年のGME卒業生15999人を代表する3090人のプログラムディレクターからデータを収集した.
主要な成果:
- 卒業生の約63.2%が専門職を探し求め,その大半は即座に就職しない限り,さらなる研修を続ける.
- 専攻分野においてフルタイムの職を見つけられない卒業生の割合は,0% (泌尿器科) から10.8% (病理科) までだった.
- 一般医の専門医は,非一般医の専門医と比較して,ポジションを確保する難しさが少なく,プログラムディレクターは将来の競争の増大を予想した.
結論:
- 特定の専門分野や地理的地域での実務に参入する医師にとって,重要な課題が存在します.
- この研究は,医師の雇用困難に関する基礎的な理解を強調し,最大10%が課題に直面しています.
- 求人におけるジェネラリストと非ジェネラリストの専門分野間の格差は,現在の市場認識と一致しています.
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