家庭医疗住院比赛不是一个"梦想的领域"
Morgan Stickler1, W Mitchel Shaver1, Adam M Franks2
1From the Department of Family & Community Health, Joan C. Edwards School of Medicine, Huntington, West Virginia (MS, MS, AMF).
Journal of the American Board of Family Medicine : JABFM
|January 30, 2026
概括
随着空缺职位的激增,越来越多的家庭医学实习生职位可能会损害现有计划,因为空缺职位急剧增加. 这一趋势表明,专注于提高初级保健职业的价值是一个更好的解决方案,而不是简单地增加更多的培训时间.
科学领域:
- 医学教育 医学教育
- 医疗保健工作人员分析
- 初级保健研究研究初级保健研究
背景情况:
- 国家预测显示,初级保健提供者严重短缺.
- 扩大家庭医疗住院计划和职位被提议作为一个解决方案.
- 自2012年以来,年度职位几乎翻了一番,从2,740个增加到5,357.
研究的目的:
- 调查增加家庭医学实习生职位的意想不到的后果.
- 分析未填写的居留计划和时间的趋势.
- 评估额外职位对现有计划的影响.
主要方法:
- 在14年的时间里,分析了来自国家居留匹配计划的数据.
- 计算未填写的居住计划的线性变化率,每1000个新创的职位.
- 检查未填写的居留计划和时间的趋势.
主要成果:
- 未完成的家庭医学实习生计划数量增加了4.5倍 (64至288).
- 没有填写的居留位增加了超过5.5倍 (142到805).
- 在2018年之后,每1000个职位的未填补计划率急剧增加.
结论:
- 进一步增加家庭医学培训位可能会对现有计划造成损害.
- 未填写的计划面临负面后果,如声誉损害和增加覆盖负担.
- 需要采取替代策略来提高对家庭医学和初级保健的兴趣.
更多相关视频
07:10Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
06:00A Rehabilitation Program of Exoskeleton-assisted Body Weight-Supported Treadmill Training with Non-immersive Virtual Reality for Stroke Patients
Published on: May 16, 2025
相关概念视频
Competition
When organisms require the same limited resources within an environment, they may have to compete for them. Competition is a net-negative interaction. Even if two competing individuals or populations do not interact directly, the overall fitness of both competitors is lowered as a result of not having full access to the limited resource.Intraspecific competition, which occurs between individuals of the same species, serves as a natural mechanism for regulating population size. Too much...
Restorative Care
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Continuing Care
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Classification of Illness
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
Ethical Issues
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
