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在美国的研究生医学教育
S I Etzel1, R L Egan, M P Shevrin
1American Medical Association Department of Directories and Publications.
JAMA
|August 25, 1989
概括
自1985年以来,尽管第一年 (GY-1) 职位稳定,但年度居住计划调查显示空缺职位的持续增加. 居民和新进入者 (GY-1) 的总数略有下降.
科学领域:
- 研究生医学教育研究生医学教育
- 住院计划分析 住院计划分析
- 医疗保健劳动力发展趋势
背景情况:
- 每年对实习生计划的调查提供了关于医生培训的数据.
- 在过去的五年里,响应率超过了90%.
- 居住职位的可用性受资金和候选人供应的影响.
研究的目的:
- 分析居住计划职位和居民人口统计的趋势.
- 为了识别可用和未填充的住所空缺数量的变化.
- 检查居民人口结构的变化,包括性别,种族和培训专业.
主要方法:
- 对居住计划年度调查数据的分析.
- 追踪关键指标,包括总职位,第一年 (GY-1) 职位和未填补的职位.
- 检查居民的人口统计数据,包括性别,种族和医学院出身.
主要成果:
- 自1985年以来,包括GY-1在内的未填补的居住职位的数量每年都在增加.
- 1988年,总居民和新入境居民 (GY-1) 略有下降.
- 妇女在居住计划中保持稳定;外国医学毕业生 (FMGs) 和非西班牙裔黑人居民略有下降.
结论:
- 尽管GY-1职位稳定,但越来越多的居住位仍未被填补.
- 总居民人数的减少可能与1988年的响应率较低有关.
- 研究生医学教育越来越多地涉及非医院机构和骨科医学院毕业生.
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