Levison S P
Department of Medicine, MCP, Hahnemann University School of Medicine, Philadelphia, PA, USA.
Semin Nephrol. 1999 Mar;19(2):98-104.
Projected requirements for nephrology physicians indicate a need for an increase in the number of nephrology trainees. In addition, government regulations are creating the climate to diminish the entry of international medical graduates into all residency programs. To meet the needs of renal patients, especially those with end-stage renal disease, and such areas of growth as nephrology research, more US medical graduates, particularly women and members of minority groups, will have to select nephrology as a career. This article discusses issues that this challenge raises for the specialty, including the impact on patient care, mentoring, and the use of nonphysician clinicians.
对肾脏病医生的预计需求表明，肾脏病培训学员的数量需要增加。此外，政府法规正在营造一种氛围，减少国际医学毕业生进入所有住院医师培训项目的机会。为了满足肾病患者的需求，尤其是那些终末期肾病患者，以及诸如肾病研究等增长领域的需求，更多的美国医学毕业生，特别是女性和少数群体成员，将不得不选择肾病作为职业。本文讨论了这一挑战给该专业带来的问题，包括对患者护理、指导以及非医师临床医生使用的影响。
