家庭医学住院医师培训项目中国际医学毕业生人数的增加。

The increase in international medical graduates in family practice residency programs.

作者信息

Koehn Nerissa N, Fryer George E, Phillips Robert L, Miller John B, Green Larry A

机构信息

Robert Graham Center for Policy Studies in Family Practice and Primary Care, Washington, DC, USA.

出版信息

Fam Med. 2002 Jun;34(6):429-35.

PMID:12164619

Abstract

BACKGROUND AND OBJECTIVES

The number of filled positions in family practice residency programs decreased by 18.6% from 1997-2001. This study sought to determine the degree of reliance on international medical graduates (IMGs) to fill family practice residency positions and the relative proportion of US citizen IMGs.

METHODS

We analyzed the 1992-2001 National Resident Matching Program results, the 2000 American Medical Association Masterfile, and the 1992-2001 American Academy of Family Physicians Annual Survey of Family Practice Residency Programs.

RESULTS

The percentage of IMGs matching in family practice remained stable between the years of 1992-1996 (10.0%-11.8%) but since 1997 has increased to a high of 21.4% in 2001. This rise in IMGs corresponds with a drop in the total percentage of family practice residency positions filled in the Match from 90.5% in 1996 to 76.3% in 2001. Despite the drop in Match numbers, the percentage of first-year family practice positions filled in July has remained in the range of 95.5%-97.8% since 1996. IMGs account for an increasing percentage of post-Match fills from 16.7% in 1996 to 47.9% in 2001. In 1999, a majority of family practice programs (279 [55.6%]), had at least one IMG. Of these, 48 programs (9.6%) had at least 50% of residents who were IMGs, and eight programs (1.6%) were entirely composed of IMGs. In five states (Connecticut, Illinois, Michigan, New Jersey, and New York), more than 25% of family practice residents were IMGs.

CONCLUSIONS

Family practice is becoming increasingly reliant on IMGs to fill residency positions.

摘要

背景与目的

1997年至2001年期间，家庭医学住院医师培训项目的填补职位数量下降了18.6%。本研究旨在确定在填补家庭医学住院医师职位时对国际医学毕业生（IMGs）的依赖程度以及美国公民IMGs的相对比例。

方法

我们分析了1992年至2001年的全国住院医师匹配项目结果、2000年美国医学协会主文件以及1992年至2001年美国家庭医师学会家庭医学住院医师培训项目年度调查。

结果

1992年至1996年期间，匹配到家庭医学专业的IMGs比例保持稳定（10.0% - 11.8%），但自1997年以来，该比例不断上升，在2001年达到21.4%的高位。IMGs比例的上升与通过匹配程序填补的家庭医学住院医师职位总数的下降相对应，从1996年的90.5%降至2001年的76.3%。尽管通过匹配程序获得职位的人数有所下降，但自1996年以来，7月份第一年家庭医学职位的填补比例一直保持在95.5% - 97.8%的范围内。IMGs在匹配后填补职位中所占比例不断增加，从1996年的16.7%增至2001年的47.9%。1999年，大多数家庭医学项目（279个[55.6%]）至少有一名IMG。其中，48个项目（9.6%）至少有50%的住院医师为IMGs，8个项目（1.6%）完全由IMGs组成。在五个州（康涅狄格州、伊利诺伊州、密歇根州、新泽西州和纽约州），超过25%的家庭医学住院医师为IMGs。