项目主任对美国医学毕业生过渡到住院的评估
Douglas Grbic1, Dorothy A Andriole1, Lindsay Roskovensky2
1Medical Education Research, Association of American Medical Colleges, Washington, DC.
JAMA network open
|January 9, 2025
概括
大多数第一年居民符合预期,但性能因专业而异. 有针对性的干预措施可以改善所有美国医学毕业生过渡到住院的情况.
科学领域:
- 医学教育研究 医学教育研究
- 研究生医学教育研究生医学教育
- 医生培训 医生培训 医生培训
背景情况:
- 医学院毕业生必须为研究生第一年 (PGY-1) 做好准备.
- 项目主任 (PD) 的评估提供了对跨专业的准备差异的见解.
研究的目的:
- 调查PD对PGY-1居民在过渡到居留期间的绩效的评估是否因专业类别而异.
- 分析GME课程专业和PD绩效评级之间的关联.
主要方法:
- 使用居民准备调查 (RRS) 数据 (2020-2023) 的回顾性,横截面研究.
- 检查了PD对PGY-1居民是否满足整体绩效预期的反应 (超过,满足,不满足).
- 使用奇平方测试和多变量逻辑回归来分析关联.
主要成果:
- 大多数 (96.8%) 的PGY-1居民达到或超过了预期.
- 根据专业的表现有显著差异 (过渡年不符合预期的比例为0.7%,家庭医学为6.2%).
- 与内部医学相比,家庭医学,整体外科和产科/妇科发现不符合预期的可能性更高.
结论:
- 大多数PGY-1居民满足或超过项目主管的期望.
- 建议针对特定专业的干预措施,以优化所有美国医学毕业生过渡到居留.
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