Rigby P G, Foulks E, Riddick F A, Braun K, Daniels R, Hilton C, Guidry J
Health Care Systems at Louisiana State, University Health Sciences Center, New Orleans, USA.
J La State Med Soc. 2001 Aug;153(8):411-8.
The state of Louisiana Medical Education Commission offers the second publication in the Journal of Louisiana State Medical Society on Graduate Medical Education (GME) in Louisiana. The four previous annual reports of the Commission have provided data to focus on trends in size, status, proportions, and issues on GME. The Commission was established by Act 3 of the 1997 Louisiana Legislature. This summary report for 2001 provides the detailed and updated data on all GME residents and fellows in Louisiana for the last academic year. The presentation of data and trends poses three questions for analysis. First, what are the trends in Graduate Medical Education in Louisiana for total residents and fellows? Second, how do these trends relate to the size, status, and proportions of Graduate Medical Education in Louisiana and as compared to the United States? Third, where do these trends lead to the future in predictions and recommendations for Graduate Medical Education in Louisiana? The 4-year trend in the total number of Graduate Medical Education filled positions has been relatively consistent, with some recent increases in primary care residency positions, especially in Family Medicine and Medicine/Pediatrics. These increases will plateau as current trends on new program formation stabilize, requiring emphasis on recruitment and factors promoting recruitment for GME in the state of Louisiana. The state of Louisiana has participated proportionately relative to population in the growth of medical education in the last century and compares favorably with other states and the nation. Louisiana has exceeded national averages in the increases in primary care programs and residents and in the retention of trainees in practice sites in the state.
路易斯安那州医学教育委员会发布了路易斯安那州医学协会期刊上关于该州毕业后医学教育（GME）的第二篇文章。委员会此前的四份年度报告提供了相关数据，以关注GME在规模、地位、比例及相关问题上的趋势。该委员会由1997年路易斯安那州立法机构的第3号法案设立。这份2001年的总结报告提供了上一学年路易斯安那州所有GME住院医师和研究员的详细且更新的数据。数据和趋势的呈现引发了三个有待分析的问题。第一，路易斯安那州GME住院医师和研究员总数的趋势如何？第二，这些趋势与路易斯安那州GME的规模、地位和比例有何关系，与美国相比情况又如何？第三，这些趋势在路易斯安那州GME未来的预测和建议方面会导向何处？毕业后医学教育填补职位总数的4年趋势相对稳定，近期初级保健住院医师职位有所增加，尤其是在家庭医学和医学/儿科学领域。随着新项目形成的当前趋势趋于稳定，这些增长将趋于平稳，这就需要在路易斯安那州强调GME的招聘以及促进招聘的因素。在上个世纪，路易斯安那州在医学教育增长方面的参与比例与人口比例相当，与其他州和全国相比情况良好。路易斯安那州在初级保健项目和住院医师的增长以及该州实习地点学员的留用方面超过了全国平均水平。
