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在美国的研究生医学教育
B D Rowley1, D C Baldwin, M B McGuire
1Department of Data Systems, American Medical Association.
JAMA
|August 15, 1990
概括
年度居住计划调查在1989年面临数据收集变化,影响了响应率. 尽管如此,预计的数据表明,值班居民总数增加了5%,女性和非西班牙裔黑人居民的比例稳定.
科学领域:
- 研究生医学教育研究生医学教育
- 医疗住院项目 医疗住院项目
- 医疗保健工作人员分析
背景情况:
- 从历史上看,每年对居住计划的调查都取得了很高的响应率 (>90%).
- 1989年向电子数据收集系统过渡导致响应率降低了78.3%,达到78.3%.
研究的目的:
- 基于1989年调查数据,分析研究生医学教育的趋势.
- 为了解决较低的响应率对数据解释的影响.
- 用回归模型对1989年居住数据进行估计.
主要方法:
- 利用从前几年的数据中得出的回归模型来估计1989年的数据.
- 分析报告的未填补职位和新入境居民人数 (GY-1).
- 检查了包括性别,种族和国际医学毕业生 (IMGs) 在内的人口趋势.
主要成果:
- 与1988年相比,预计总值班居民人数将增加5%,尽管观察到的数字较低.
- 自1985年以来,每年报告空缺职位的增加.
- 观察到女性和非西班牙裔黑人居民的稳定百分比,FMG居民的持续下降,自1987年以来,ACGME课程的骨科医生毕业生增加了17%.
结论:
- 1989年的数据表明,居住计划动态可能发生变化,包括总居民和空缺职位的增加.
- 人口趋势表明,主要居民群体 (女性,黑人非西班牙裔) 的稳定性,而FMG的代表性正在下降.
- 需要进一步分析以确认受1989年数据收集变化影响的趋势.
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