评估儿童手术培训的供需趋势
Jason Silvestre1, Terhas A Weldeslase2, Robert H Wilson3
1Perelman School of Medicine, Philadelphia, Pennsylvania; Children's National Hospital, Washington, DC.
Journal of surgical education
|June 14, 2023
概括
自2018年以来,对儿科手术培训的需求有所下降,但比赛仍然具有竞争力,特别是对于国际医学毕业生来说. 需要进一步的研究来了解这些差异.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 研究生医学教育研究生医学教育
背景情况:
- 评估儿科外科培训的供需动态对于劳动力规划至关重要.
- 了解儿科手术比赛的趋势,可以了解专业竞争力.
研究的目的:
- 分析2008年至2022年美国儿科外科培训的供需趋势.
- 为了评估随着时间的推移,匹配率,申请人人口统计数据和奖学金选择偏好.
主要方法:
- 从2008年到2022年,对儿科手术匹配申请人的回顾性队列研究.
- 使用科克兰-阿米塔奇测试用于时间趋势和奇平方测试进行结果比较.
- 包括来自美国研究生医学教育认证委员会 (ACGME) 认证的美国项目和非ACGME认证的加拿大项目的数据.
主要成果:
- 申请人与培训比例在2017-2018年达到顶峰,随后下降.
- 美国医学博士毕业生匹配率增加 (60%至68%),而非美国医学博士毕业生匹配率大幅下降 (40%至22%).
- 较少的申请人与他们前三项奖学金选择相匹配,与较不理想的职位相匹配的人数增加.
结论:
- 儿科外科培训的需求在2017-2018年左右达到顶峰,此后一直在下降.
- 儿科手术比赛仍然非常有竞争力,特别是在非美国的医学博士毕业生中.
- 进一步调查国际医学毕业生面临的障碍是有必要的.
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