在1997年"平衡预算法案"之前和之后,美国居民培训
Edward Salsberg1, Paul H Rockey, Kerri L Rivers
1Center for Workforce Studies, Association of American Medical Colleges, 2450 N St NW, Washington, DC 20037, USA. esalsberg@aamc.org
JAMA
|September 11, 2008
概括
1997年"平衡预算法" (BBA) 最初暂停了医学研究生 (GME) 医生培训的增长. 然而,从2002年到2007年,由于国际医学毕业生和子专业化,数字显著增加.
科学领域:
- 医学教育 医学教育
- 医生劳动力发展工作人员
- 卫生政策分析 卫生政策分析
背景情况:
- 研究生医学教育 (GME) 塑造了未来的医生劳动力.
- 1997年平衡预算法案 (BBA) 影响了医疗保险对GME的资金,引发了人们对可能阻碍GME增长的担忧.
研究的目的:
- 分析1997年平衡预算法案 (BBA) 之前和之后的居民培训数量和特征.
- 通过专业,性别和教育环境来研究GME的最新趋势.
主要方法:
- 一项描述性研究,利用美国医学协会和美国医学院协会的全国GME人口普查数据.
- 分析的重点是认证医学研究生教育认证委员会 (ACGME) 认证的课程中的医生.
- 在BBA之前和之后检查了居民人数和特征的变化.
主要成果:
- 1997年至2002年期间,医生实习生人数保持稳定,但到2007年增长了8.0%.
- 增加的GME进入主要是由于国际医学毕业生 (IMGs) 的增加.
- 虽然美国的MDs增长了,但他们转向了更长的子专业培训,减少了初级保健医生,而IMG在初级保健增加了.
结论:
- 1997年的BBA可能导致了GME医生培训的暂时停滞.
- 在2002年至2007年期间,在ACGME认可的课程中,居民和研究员的数量显著增加.
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