1994年至1996年外科住院医师的纵向研究。

Kwakwa F, Jonasson O

American College of Surgeons, Chicago, IL 60611, USA.

J Am Coll Surg. 1999 Jun;188(6):575-85. doi: 10.1016/s1072-7515(99)00044-7.

BACKGROUND

The American College of Surgeons (ACS) has conducted a detailed annual survey of residents enrolled in surgical graduate medical education (GME) programs since 1982 and has regularly published the resulting data as the Longitudinal Study of Surgical Residents. This report documents surgical resident enrollment and graduation for the academic years 1994-95 and 1995-96.

STUDY DESIGN

The Medical Education Research and Information Database of the American Medical Association was supplemented by the existing ACS Resident Masterfile and by personal contact with program directors and their staffs to verify accuracy and completeness of reporting. Each resident was tracked individually through surgical GME.

RESULTS

The total number of surgical residents graduating from surgical GME in 1995 and 1996 has not changed since 1982. Most graduates of surgical residency programs are in obstetrics and gynecology, followed by general surgery; demographic analysis of the graduating cohort shows that most are Caucasian male graduates of US or Canadian medical schools, and that their age at graduation is 33 to 35 years. International medical graduates (IMG) make up 8.9% of entering surgical residents and 6% of graduates. Osteopathic medical school graduates account for 1.2% to 1.3% of entering and graduating surgical residents. Women represent 27% of entering and 23% to 24% of graduates of surgical GME. The largest number and proportion of women in surgical GME are enrolled in obstetrics and gynecology residency programs, where they make up the majority of entering and graduating classes. When all other surgical residency program enrollments are considered together, women make up 17% and 16% of entering residents in 1994 and 1995, respectively, and 13% and 14% of graduates in those years.

CONCLUSIONS

Surgical GME enrollment and graduation is stable. Few women and ethnic minorities are enrolled in surgical residency programs. IMG enrollment and graduation in surgical GME is low.

背景

自1982年以来，美国外科医师学会（ACS）对参加外科研究生医学教育（GME）项目的住院医师进行了详细的年度调查，并定期公布由此产生的数据，即《外科住院医师纵向研究》。本报告记录了1994 - 95学年和1995 - 96学年外科住院医师的招生和毕业情况。

研究设计

美国医学协会的医学教育研究与信息数据库通过现有的ACS住院医师主文件以及与项目主任及其工作人员的个人联系得到补充，以核实报告的准确性和完整性。通过外科GME对每位住院医师进行单独跟踪。

结果

1995年和1996年从外科GME毕业的外科住院医师总数自1982年以来没有变化。外科住院医师培训项目的大多数毕业生从事妇产科工作，其次是普通外科；对毕业人群的人口统计学分析表明，大多数是美国或加拿大医学院的白人男性毕业生，毕业时年龄为33至35岁。国际医学毕业生（IMG）占外科住院医师入学人数的8.9%，占毕业生人数的6%。骨科医学院毕业生占外科住院医师入学和毕业人数的1.2%至1.3%。女性占外科GME入学人数的27%，占毕业生人数的23%至24%。外科GME中女性人数最多、比例最高的是妇产科住院医师培训项目，她们在入学和毕业班级中占多数。当将所有其他外科住院医师培训项目的入学人数综合考虑时，女性在1994年和1995年分别占入学住院医师的17%和16%，在这两年中分别占毕业生的13%和14%。