不同的信件,相同的结果:美国全科医生和骨科医生居民之间的里程碑的比较
Melissa L Langhan1, Thuy L Ngo2, Kenji Yamazaki3
1Departments of Pediatrics and Emergency Medicine, Section of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA.
Journal of osteopathic medicine
|February 16, 2026
概括
作为医学博士 (MD) 和骨科医学博士 (DO) 的医疗居民在整个住院期间都表现出类似的能力评估. 里程碑分数的小差异有利于MD或DO毕业生,没有观察到一致的趋势.
科学领域:
- 医学教育 医学教育
- 研究生医学培训研究生医学培训
- 医生能力评估医生能力评估
背景情况:
- 全科医生 (MD) 和骨科医生 (DO) 医疗培训的区别可能会导致在住院申请中对DO的偏见.
- 人们对潜在的差异性待遇及其对专业短缺的影响存在担忧.
- 缺乏证据表明,DO和MD居民之间的能力评估是否有所不同.
研究的目的:
- 为了比较美国培训的全科医生 (MD) 和骨科医生 (DO) 居民之间的医学研究生教育认证委员会 (ACGME) 里程碑评估.
- 假设在整个居住期间,里程碑评估中没有显著差异.
- 分析六个核心能力的表现:患者护理 (PC),医学知识 (MK),基于实践的学习和改进 (PBLI),人际和沟通技巧 (ICS),专业性 (PROF) 和基于系统的实践 (SBP).
主要方法:
- 对家庭医学,内科,儿科和急诊医学领域的3年计划中居民的里程碑成就的分析.
- 包括2016年和2017年美国居住匹配的居民,不包括国际毕业生和单一来源的培训计划.
- 在初始和前后评估期的里程碑分数的比较,使用概括的估计方程来解释重复的措施.
主要成果:
- 在2016年的队列中,初步评估显示DOS在8个领域的里程碑平均值较低,在2个领域的里程碑平均值较高;在最后一次评估之前,DOS在3个领域的平均值较低,在6个领域的平均值较高 (紧急医疗).
- 在2017年队列中,初步评估显示,DO在7个领域的里程碑平均值较低,在1个领域的里程碑平均值较高;在最后一次评估之前,显著的差异仅在家庭医学MK和PBLI中,有利于MD.
- 里程碑得分差异的绝对值在0.05到0.12之间很窄.
结论:
- 骨科医生和全科医生在整个培训过程中在四个主要医学专业中展示了可比的里程碑评估.
- 里程碑评估中的统计学上显著差异很小,不一致地支持MD或DO居民.
- 根据培训年或医疗专业,没有观察到里程碑分数差异的一致趋势.
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