Nuchprayoon Issarang
Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Rama IV Rd, Patumwan, Bangkok 10330, Thailand.
J Med Assoc Thai. 2005 May;88(5):593-600.
In the past 2 decades, international medical graduates (IMG) were needed to fill graduate medical education (GME) positions in the United States (U.S.). The author built a database of Thai medical graduates in accredited U.S. residency systems between 1988-2003, and analyzed the trend and opportunity for Thai IMG. During the 16-year study period, there were 281 Thai medical graduates who successfully entered residency in the U.S., with a rising trend that reached a peak between 1993-1994, and subsequently declined to about 10-15 per year Thai physicians entered U.S. residency program 4.2 +/- 3.3 years after medical school graduation. Thai IMGs were mostly in internal medicine (N=153, 54.4%) and pediatric residency programs (N=76, 27.1%), with much fewer in psychiatry (N=10), surgery (N=9), neurology (N=8), anesthesiology (N=7), and other specialties (N=18). Thai medical graduates tended to be clustered in a few residency programs. Half of the Thai graduates in the U.S. internal medicine residency were accepted in 9 programs; the largest were Texas Tech (Lubbock, N=18), Albert Einstein University (Philadelphia, N=14), and University of Hawaii (Honolulu, N=13). For pediatric residency, about half of the Thai graduates (56.6%) were in 6 programs; the largest were Christ Hospital (Oaklawn, N=11), University of Illinois at Chicago (N=11), and Jersey City Medical Center (N=9). After residency training, most Thais (94.5%) chose to do subspecialty training. The most popular medical subspecialties were cardiology, nephrology, and hematology-oncology. The most popular pediatric subspecialties were allergy-immunology, endocrinology, and cardiology. In conclusion, there are too few Thais in the U.S. residency system. This information may be helpful for Thai medical graduates who seek residency abroad.
在过去20年里，美国需要国际医学毕业生（IMG）来填补毕业后医学教育（GME）岗位。作者建立了一个1988 - 2003年间在美国认可的住院医师培训体系中的泰国医学毕业生数据库，并分析了泰国国际医学毕业生的趋势和机会。在16年的研究期内，有281名泰国医学毕业生成功进入美国住院医师培训项目，呈上升趋势，在1993 - 1994年达到峰值，随后降至每年约10 - 15人。泰国医生在医学院毕业后4.2 +/- 3.3年进入美国住院医师培训项目。泰国国际医学毕业生大多进入内科（N = 153，54.4%）和儿科住院医师培训项目（N = 76，27.1%），而进入精神病学（N = 10）、外科（N = 9）、神经学（N = 8）、麻醉学（N = 7）和其他专科（N = 18）的人数则少得多。泰国医学毕业生倾向于集中在少数住院医师培训项目中。在美国内科住院医师培训项目中的泰国毕业生有一半被9个项目录取；人数最多的是德克萨斯理工大学（拉伯克，N = 18）、阿尔伯特·爱因斯坦大学（费城，N = 14）和夏威夷大学（檀香山，N = 13）。对于儿科住院医师培训项目，约一半的泰国毕业生（56.6%）进入6个项目；人数最多的是基督医院（奥克劳恩，N = 11）、伊利诺伊大学芝加哥分校（N = 11）和泽西城医疗中心（N = 9）。住院医师培训结束后，大多数泰国人（94.5%）选择进行专科培训。最受欢迎的医学专科是心脏病学、肾脏病学和血液肿瘤学。最受欢迎的儿科专科是过敏免疫学、内分泌学和心脏病学。总之，在美国住院医师培训体系中的泰国人太少了。这些信息可能对寻求国外住院医师培训的泰国医学毕业生有所帮助。
