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概括
住院计划认证和职位增加,但第一年住院人数,特别是国际医学毕业生,下降. 居住计划中女性的百分比继续上升.
科学领域:
- 医学教育 医学教育
- 研究生医学教育统计数据
- 医生劳动力分析
背景情况:
- 每年对居住计划的调查表明,在五年内,响应率很高 (>95%).
- 副专业课程的认证,特别是内科,导致1986年认证课程的增加.
研究的目的:
- 分析认可的居住计划的趋势,所提供的职位和居民人口统计数据.
- 确定居民人数的变化,重点关注第一年 (GY-1) 职位和国际医学毕业生 (IMGs).
主要方法:
- 统计分析来自认可住院计划的年度调查数据.
- 追踪程序号码,职位和居民人口统计数据,包括性别和IMG状态.
主要成果:
- 综合内科,家庭诊所,整体外科和产科/妇科有最多的项目.
- 总认证职位增加,但GY-1职位没有显著增加.
- 自1984年以来,GY-1居民人数下降了7%,这主要是由于IMG人数下降了21%,其中包括美国公民IMG人数下降了38%.
- 住院计划中的女性比例从1977年的15%增加到1986年的27%.
结论:
- 虽然整体居住计划和职位扩大,但第一年居民,特别是IMG的数量显著下降.
- IMG下降的潜在原因包括节目主任的犹和较低的FMGEMS通过率.
- 越来越多的妇女在各种专业的住院计划中的代表性继续.
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