论文部分内容阅读
背景美国选择从事初级保健的医学毕业生比例远不能满足未来国家对相关人力资源的需求。接受家庭医学住院医生培训的人员以及接受初级保健其他方向住院医生培训的人员是未来初级保健的主要人力资源。方法数据来源于2013年美国住院医生匹配项目(NRMP)重点住院医生项目及2013年美国家庭医生学会(AAFP)医学教育住院医生调查。所调查信息包括申请参加2013—2014学院年度毕业生医学教育项目的人数、专业选择以及意向专业。结果与2012年相比,2013年NRMP项目申请家庭医学住院医生项目的总人数及实际参加人数均略有上升。2013年,初级保健内科医学、儿科-初级保健、内科医学-儿科等初级保健领域其他项目的参加人数也略有上升。2013年NRMP项目结果显示,选择从事初级保健的医学生人数连续第4年上升。结论 2013年NRMP匹配方法的变化使匹配项目结果难以与往年结果比较。医学院校录取的变化、贷款偿还和提高初级保健工作者的薪酬均有助于促进医学生选择从事家庭医学。
Background The proportion of medical graduates who choose to engage in primary care in the United States is far from meeting the future national demand for related human resources. People who are trained in family medicine resident doctors and who are trained in resident doctors in other directions from primary care are the main human resources for future primary care. Methodological data was derived from the 2013 National Resident Physician Match Program (NRMP) Key Resident Physicians Project and the 2013 American Academy of Family Physicians (AAFP) Medical Education Resident Survey. The survey information includes the number of applicants, professional choices, and intentions who applied for participating in the 2013-2014 college year graduate medical education program. Results Compared with 2012, the total number of people applying for family medical resident in the NRMP project in 2013 and the actual number of participants have increased slightly. In 2013, the number of participants in other primary care areas such as primary health care, internal medicine, pediatrics-primary care, and internal medicine-pediatrics also increased slightly. The results of the NRMP project in 2013 showed that the number of medical students who chose to take primary care rose for the fourth consecutive year. Conclusion The changes in the NRMP matching method in 2013 made it difficult to compare the results of matching projects with previous years’ results. Changes in medical college admissions, loan repayments, and increases in the salaries of primary care workers all help to promote medical students to choose to engage in family medicine.