内部医学主任住院的选择过程和角色准备中的异质性:改善的机会
Benjamin L H Jones1, Lenny López2,3, Megha Garg2,3
1Department of Medicine, University of California Los Angeles, 757 Westwood Plaza, Suite 7236, Los Angeles, CA, 90095, USA. benjaminjones@mednet.ucla.edu.
BMC medical education
|July 3, 2025
概括
内部医学主任住院医师的选择和培训缺乏标准化. 正式的选择过程显示了种族/民族差异,突出了需要公平的做法和一致的工作培训跨程序.
科学领域:
- 研究生医学教育研究生医学教育
- 内部医疗 住院计划 内部医疗 住院计划
背景情况:
- 首席住院 (CR) 角色对于住院计划管理,教育和临床功能至关重要.
- 关于内部医学 (IM) 首席医生的选择和职业培训流程的数据有限.
研究的目的:
- 调查内部医学主任住院医生的选择方法和职业培训经验.
- 根据人口因素,识别选择和培训方面的潜在差异.
主要方法:
- 利用了2018年IM首席居民的横截面调查数据.
- 雇员雪球采样和内部医学项目主管协会列表serv.由于没有国家CR数据库.
- 分析数据使用描述性统计和千平方测试来比较跨人口变量和程序类型的响应.
主要成果:
- 169名IM首席居民回复,回复率各不相同 (57%的雪球,12%的listserv).
- 42%的CR选择采用了正式的申请流程,而49%的非正式流程采用非正式的申请流程.
- 与其他种族/族群相比,黑人/非裔美国人CR更有可能通过正式流程进行选择 (p=0.047).
- 69%的受访者表示,他们接受了一些正式的职业培训,在角色准备方面没有明显的性别,种族/种族或项目类型的差异.
结论:
- 标准化IM首席医师的选择和职业培训是必不可少的.
- 标准化可以提高角色准备,表现和整体居民体验的一致性.
- 实施标准化流程可以促进首席居民选择的公平性和多样性.
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