Rigby Perry G, Pinsky William, Amedee Ronald, Braun Kurt, Hilton Charles, Chesson Andrew, Guidry Jimmy
Louisiana State University Health Sciences Center, New Orleans, USA.
J La State Med Soc. 2007 Mar-Apr;159(2):88-93.
The destructive and disruptive force of Hurricane Katrina was an enormous challenge to Graduate Medical Education (GME) in Louisiana. Before Katrina hit, GME was successful, prospering, steady, and productive in the state professional workforce, provision of clinical care, and economic development. That GME survived as well as it did, especially in the hardest hit institutions in New Orleans, is indeed remarkable, and greatly assisted by all other GME institutions in LA and across the U.S. As documented in this report, hits taken resulted in some loss and redistribution. The last two matches are compared, 2005 to 2006, and although both filled after the scramble, '06 is smaller. The year before Katrina (2004 to 2005) data on GME are included, and 2005 to 2006 will be posted when available. The approximate loss (16%) and redistribution scenarios are presented. National trends are also noted, as primary care specialties are less in the national match, even as a national response is begun to increase the short supply of physicians.
卡特里娜飓风的破坏力和颠覆性力量对路易斯安那州的毕业后医学教育（GME）构成了巨大挑战。在卡特里娜飓风来袭之前，该州的毕业后医学教育在专业劳动力培养、临床护理提供以及经济发展方面取得了成功，呈现出繁荣、稳定且富有成效的态势。毕业后医学教育能如此顽强地存续下来，尤其是在新奥尔良受灾最严重的机构中，着实令人瞩目，这在很大程度上得益于路易斯安那州以及美国各地的其他毕业后医学教育机构的协助。正如本报告所记录的，遭受的冲击导致了一些损失和重新分配。对2005年至2006年的最后两次匹配情况进行了比较，尽管两次都是在补充录取后完成，但2006年的规模较小。纳入了卡特里娜飓风来袭前一年（2004年至2005年）的毕业后医学教育数据，2005年至2006年的数据将在获取后发布。报告呈现了大致的损失（16%）和重新分配情况。同时也指出了全国性的趋势，即尽管已经开始采取全国性应对措施来增加医生短缺的问题，但在全国范围内的匹配中，初级保健专业的名额较少。
