在日本经过两年的法定初步临床培训后,专业培训计划选择的预测因素:一项为期10年的回顾性单中心队列研究
Hidenori Sanayama1, Hitoshi Sugawara1, Ayako Nakagawa2
1Division of General Medicine, Department of Comprehensive Medicine 1, Jichi Ika University Saitama Medical Center, Japan.
Internal medicine (Tokyo, Japan)
|December 10, 2025
概括
医生专业培训的延续与特定的课程偏好有关. 对通用医学开放课程的偏好显著预测在同一机构保留专业培训.
科学领域:
- 医学教育 医学教育
- 医生培训 医生培训 医生培训
- 住院项目 住院项目
背景情况:
- 了解影响医生留在专业培训中的因素对于程序开发至关重要.
- 居民的消耗和机构之间的转移可能会影响医疗保健工作人员的稳定性和培训的连续性.
- 确定继续培训的预测因素有助于优化居住计划设计和招聘策略.
研究的目的:
- 确定与医生留在最初的机构进行专业培训与转移相关的背景因素.
- 确定初始临床培训后继续培训的预测因素.
主要方法:
- 一项回顾性队列研究分析了261名医生的人口,地理和招聘数据.
- 数据从机构记录和申请文件中收集.
- 使用度校正后勤回归来确定继续培训的预测因素.
主要成果:
- 47.1%的医生 (261人中有123人) 在同一机构继续专业培训.
- 偏好通用医学开放课程,提供28周的可选机构内部轮换,是保留的主要独立预测因素.
- 偏好这门课程显示了显著的调整赔率比率 (16.25,95% CI:1.78-2177;p =0.009).
结论:
- 偏好通用医学开放课程独立预测在同一机构继续专业培训.
- 提供广泛的机构内部接触的培训计划可能会提高居民的留守率.
- 调查结果可以为招聘策略和培训计划设计提供信息,需要多机构验证.
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