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追踪学员流动:在医学研究生教育中分析地理保留的可扩展框架

Brandon Garten¹, Arjun N Bhatt¹, Raag Patel¹

¹is a Medical Student, Medical College of Georgia, Augusta, Georgia, USA.

Journal of graduate medical education

|December 19, 2025

概括

医生学员的流动性因地区和培训阶段而异. 了解这些模式是解决医疗保健获得的地理差异的关键.

科学领域:

医学教育医学教育
医生劳动力分布医生劳动力分布
医疗保健服务研究医疗服务研究

背景情况:

尽管研究生医学教育 (GME) 扩张,但医生地理分布持续不当.
医生培训计划集中在城市地区,加强了区域劳动力不平衡.
了解实习生流动性对于解决服务不足地区劳动力短缺问题至关重要.

研究的目的:

创建和实施一个框架来评估医生实习生在GME各阶段的留守和流动性.
分析眼科实习生运动模式作为一个典型的专业.
确定影响医生供应的地理差异的因素.

主要方法:

来自52个ACGME认可计划的800名眼科医生 (2019-2022) 的回顾性队列研究.
利用FREIDA数据库和程序网站来跟踪地理过渡:医学院到住院 (T1),住院到奖学金 (T2a) 和住院到临床 (T2b).
主要结果:区域保留率和培训地点之间的旅行距离.

主要成果:

南部地区显示T1保留率最高;西部显示T2a和T2b保留率最高.
西部有最低的T1保留率;中西部有最低的T2a保留率.
与其他阶段 (P<.005) 相比,医生实习生在住院和奖学金 (T2a) 之间的平均距离最长 (P<.005).

结论:

实习生搬迁和留住模式是动态的,根据GME阶段和地理区域有很大差异.
住院和奖学金之间的平均旅行距离最大,突出了医生分配的关键过渡点.
调查结果强调需要有针对性的干预措施,以减轻医生供应的地理差异.

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