国家居民匹配计划:由于改革而过时的商业模式
Hazem Nasef1, Muhammad Usman Awan1, Nickolas Hernandez2
1Kiran Patel College of Allopathic Medicine, NOVA Southeastern University, Fort Lauderdale, FL, USA.
The American surgeon
|December 4, 2023
概括
国家居民匹配计划 (NRMP) 显示申请人数和排名的位置有所增加,表明系统拥堵主要影响申请人. 需要进行改革,以改善申请人和计划的NRMP.
科学领域:
- 医学教育 医学教育
- 住所匹配系统 住所匹配系统
- 医疗保健劳动力发展趋势
背景情况:
- 分析了从2007-2008年到2022-2023年的国家居民匹配计划 (NRMP) 申请周期.
- 专注于竞争激烈的外科专业中的趋势.
- 评估当前NRMP商业模式的有效性.
研究的目的:
- 在16个匹配周期中检查NRMP应用趋势.
- 评估对外科和非外科专业的影响.
- 为NRMP改进提供基于证据的建议.
主要方法:
- 横截面研究设计. 截面研究设计.
- 利用NRMP数据库来获取申请人和排名位置的数据.
- 分析了平均申请人的趋势和每个申请人的排名.
主要成果:
- 外科专业的申请人增加了47.99%,每位申请人的排名增加了88.07%.
- 最具竞争力的前五个外科专业的申请人增加了57.66%,排名增加了83.33%.
- 整体系统显示,在16年的时间里,申请人和职位都显著增长.
结论:
- 该NRMP系统呈现越来越多的拥堵,不成比例地负担申请人.
- 调查结果凸显了NRMP改革的迫切需要.
- 提出的解决方案旨在更好地服务于居住申请人和计划.
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