研究生医学教育,1998-1999年:更仔细的观察
R S Miller1, M R Dunn, T Richter
1Operations and Data Analysis, Accreditation Council for Graduate Medical Education, Chicago, IL 60610, USA. rmiller@acgme.org
JAMA
|September 9, 1999
概括
由于长时间的培训时间,医生劳动力计划面临挑战. 最近的数据显示,住院人数略有下降,毕业生来源发生了变化,这可能会影响未来的医生供应.
科学领域:
- 医学教育 医学教育
- 医疗卫生工作人员分析分析
- 医生供应的动态 医生供应的动态
背景情况:
- 医生劳动力在总数和专业分布方面面临着严重的不平衡.
- 研究生医学教育 (GME) 的培训时间阻碍了对劳动力失衡的快速纠正.
- 现有的GME数据收集缺乏系统的规划机制.
研究的目的:
- 分析1998-1999年研究生医学教育 (GME) 活动和趋势.
- 识别医生劳动力中的微妙但潜在的重大变化.
- 为了告知未来的医生劳动力规划和政策.
主要方法:
- 美国医学协会对研究生医学教育计划的年度调查 (1998-1999年) 的分析.
- 在3-6年内检查住院医生人数,项目增长和毕业生来源的趋势.
- 国际医学毕业生 (IMG) 与美国医学毕业生参与和培训时间的比较.
主要成果:
- 1998年,总住院医生的数量略有下降,而GME项目增加.
- 美国医学毕业生入口保持稳定;骨科医生毕业生显著增加;IMGs下降.
- 医疗保健专业追求更长的培训时间;初级保健专业的增长停滞不前;提前离开计划的居民增加.
- 进入GME的IMG中很大一部分是美国公民或永久居民.
结论:
- 尽管看似稳定,但GME参与和研究生来源的微妙变化值得注意.
- 减少GME资金和其他因素可能会影响这些趋势.
- 识别和监测影响医生劳动力的因素对于未来的规划至关重要.
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