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国际医学毕业生与美国整体外科住院相匹配:30年的匹配趋势
Brianna L Foley1, Collin E Dougherty2, Chandra Are2
1University of Nebraska Medical Center, College of Medicine, Omaha, Nebraska.
The Journal of surgical research
|July 25, 2024
概括
国际医学毕业生 (IMG) 越来越多地填补美国整体外科住院位,特别是初步职位. 这一趋势凸显了过去三十年来外科手术人员组成的变化.
科学领域:
- 医学教育 医学教育
- 外科手术劳动力分析
- 居住地匹配趋势的趋势
背景情况:
- 国际医学毕业生 (IMG) 代表了美国外科工作人员的重要部分.
- 有限的当代数据存在IMGs参与美国的整体外科住院计划.
- 这项研究分析了IMG与一般外科住院相匹配的30年趋势.
研究的目的:
- 为了调查美国医疗保健的趋势. 老年人,美国国防部. 老年人,IMG与美国普通外科住院职位相匹配,跨越了30年的时间 (1994-2023年).
- 为了确定一般外科住院申请人池和匹配的医生组成的变化.
主要方法:
- 使用国家居民匹配计划 (NRMP) 报告从1994年到2023年.
- 分析了美国M.D.的匹配比例. 老年人,美国国防部. 老年人,以及美国公民和非美国公民IMGs在分类和初步的整体外科职位.
- 使用线性回归来评估年度百分比变化和R平方值来测量差异.
主要成果:
- 在过去的30年里,IMG对分类和初步整体外科的匹配比例显著增加.
- 美国M.D. 高年级人员在分类职位上的匹配百分比稳步下降,与此同时,美国D.O.也在同步上升. 年长的.老年人.
- 到2023年,IMG将填补10.3%的分类和44.5%的一般外科初步职位,非美国公民IMG填补了更大比例的初步职位.
结论:
- 美国全方位医学医生的比例. 在过去的三十年中,与一般外科住院相匹配的老年人数有所减少.
- 与此同时,美国骨科医生D.O.的匹配量显著增加. 老年人和国际医学毕业生.
- 这些不断变化的趋势对美国外科工作人员的未来组成和动态有着重大影响.
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