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2022年和2023年紧急医疗住院比赛:一个警告故事
Mary Lewis1, Kathleen Williams1, Joshua Timpe1
1Emergency Medicine, Medical College of Wisconsin, Milwaukee, USA.
Cureus
|June 7, 2023
概括
紧急医疗 (EM) 匹配在2022-2023年期间出现了空缺职位的显著增加和美国MD申请人的减少. 这些趋势超出了预期的变化,表明专业匹配过程中的关键转变.
科学领域:
- 医学教育 医学教育
- 居住地匹配 居住地匹配
- 紧急医疗 紧急医疗
背景情况:
- 紧急医疗 (EM) 住院比赛在2022年和2023年经历了显著的转变.
- 计划观察到从2022年开始的开放职位大幅增加.
研究的目的:
- 分析10年来国家居民匹配计划 (NRMP) 的数据,以确定EM匹配的重大偏差.
- 评估导致EM匹配过程中非随机变化的因素.
主要方法:
- 利用Shewhart的控制图表来绘制10年的EM匹配结果.
- 确定的基线值和控制极限以检测偏差.
- 评估了居住计划的扩展,申请人数和申请人类型.
主要成果:
- 增加的EM PGY-1职位数量在预期范围之内.
- 不匹配职位的数量和美国MD申请人总数的变化超出了控制限,这表明存在显著的偏差.
- 这些变化表明EM匹配中的非随机过程转移.
结论:
- 最近EM匹配变化的确切原因尚不清楚.
- 潜在的因素包括供需失衡,专业认知转变,COVID-19的影响和劳动力需求.
- 讨论了其他专业的类似历史转变的分析和潜在解决方案的探索.
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