Englander Robert, Carraccio Carol, Zalneraitis Edwin, Sarkin Richard, Morgenstern Bruce
University of Connecticut School of Medicine, Hartford, Connecticut, USA.
Pediatrics. 2003 Sep;112(3 Pt 1):502-5. doi: 10.1542/peds.112.3.502.
Little has been written about the counseling of medical students as they go through the process of selecting and ranking residency programs for the National Resident Matching Program. The Association of Pediatric Program Directors (APPD) and the Council on Medical Student Education in Pediatrics jointly sought to evaluate the current status of advice and counseling for students going through the Match, and to elicit suggestions for improvement.
Surveys evaluating satisfaction with aspects of and advice received regarding the Match were sent to each of the 199 Accreditation Council for Graduate Medical Education accredited member programs of the APPD with a request that they be distributed to all first-year pediatric residents during the orientation process for the 2001-2002 academic year. Surveys were both voluntary and anonymous. Results were compiled by the administration of the APPD.
We received responses from 42% of all US pediatric categorical or combined residents entering pediatric residency in July of 2001. Respondents included at least 1 representative from every US medical school. Ninety-seven percent of respondents were either very satisfied (88%) or somewhat satisfied (9%) with where they matched, whereas 82% were either very (42%) or somewhat (40%) satisfied with the advice they received regarding the match. The Fellowship and Residency Interactive Database, the faculty advisor, and resident-to-student counseling were the top 3 resources identified by the respondents. Of 12 resources listed in the survey, only the Green Book was rated as unhelpful. Four areas for improvement regarding the advising process were identified: timing, standardization, and quantity of advice and accuracy of online information resources, with specific suggestions given for each.
Overall, recent medical school graduates are quite satisfied with both where they matched in pediatrics and the process that got them there. However, several areas for improvement in the advising/counseling system were identified. Potential approaches to these concerns or resources to develop approaches to them were identified.
关于医学生在为国家住院医师匹配计划选择和排名住院医师培训项目过程中的咨询情况，相关著述较少。儿科项目主任协会（APPD）和儿科医学生教育委员会联合开展研究，旨在评估参与匹配过程的学生所获建议和咨询的现状，并征集改进建议。
向APPD的199个经研究生医学教育认证委员会认证的成员项目中的每一个发送了关于对匹配方面的满意度以及所获匹配建议的调查问卷，并要求在2001 - 2002学年的迎新过程中将问卷分发给所有一年级儿科住院医师。调查为自愿且匿名性质。结果由APPD管理部门汇总。
我们收到了2001年7月进入儿科住院医师培训的所有美国儿科分类或联合住院医师中42%的回复。受访者包括来自美国每所医学院校的至少1名代表。97%的受访者对他们的匹配结果非常满意（88%）或 somewhat满意（9%），而82%的受访者对他们所获的匹配建议非常满意（42%）或 somewhat满意（40%）。奖学金和住院医师互动数据库、教师顾问以及住院医师对学生的咨询是受访者提及最多的前3种资源。在调查列出的12种资源中，只有《绿皮书》被评为无用。确定了咨询过程中需要改进的4个方面：时间安排、标准化、建议的数量以及在线信息资源的准确性，并针对每个方面给出了具体建议。
总体而言，近期医学院毕业生对他们在儿科的匹配结果以及促成这一结果的过程都相当满意。然而，也确定了咨询系统中几个需要改进的方面。明确了针对这些问题的潜在解决方法或开发解决方法所需的资源。
