美国医学毕业生和国际医学毕业生的职业意向。
Career intentions of U.S. medical graduates and international medical graduates.
作者信息
Ogunyemi Dotun, Edelstein Ron
机构信息
Charles R. Drew University of Medicine & Science/David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
出版信息
J Natl Med Assoc. 2007 Oct;99(10):1132-7.
OBJECTIVE
This study reports on career intentions of U.S medical graduate (USMG) and international medical graduate (IMG) residents who completed residency training from 2000 to 2003 in California.
METHODS
A retrospective study of 3178 responses to the Survey of Residents Completing Training in California.
RESULTS
USMGs were 86% and 14% were IMGs. IMG holders of temporary visas had the highest obligation to serve in health professional shortage areas (HPSA) and were also the most likely to serve in HPSAs (p = 0.012). Underserved residency program location (OR = 2.7, p = 0.000), HPSA obligation (OR = 5.93, p = 0.001) and postresidency training (OR = 0.561, p = 0.048) were independently predictive of practice in underserved location, HPSA or public hospital. In addition, underrepresented minorities, primary care specialty and income were independently predictive of HPSA practice.
CONCLUSION
In California, HPSA obligation, residency training programs characteristics and underrepresented minorities are important predictors of residents choosing to work in underserved areas.
目的
本研究报告了2000年至2003年在加利福尼亚完成住院医师培训的美国医学毕业生（USMG）和国际医学毕业生（IMG）住院医师的职业意向。
方法
对加利福尼亚完成培训的住院医师调查问卷的3178份回复进行回顾性研究。
结果
美国医学毕业生占86%，国际医学毕业生占14%。持有临时签证的国际医学毕业生在卫生专业人员短缺地区（HPSA）服务的义务最高，也最有可能在卫生专业人员短缺地区服务（p = 0.012）。服务不足的住院医师培训项目地点（OR = 2.7，p = 0.000）、卫生专业人员短缺地区义务（OR = 5.93，p = 0.001）和住院医师培训后（OR = 0.561，p = 0.048）是在服务不足地区、卫生专业人员短缺地区或公立医院执业的独立预测因素。此外，代表性不足的少数族裔、初级保健专业和收入是在卫生专业人员短缺地区执业的独立预测因素。
结论
在加利福尼亚，卫生专业人员短缺地区义务、住院医师培训项目特征和代表性不足的少数族裔是住院医师选择在服务不足地区工作的重要预测因素。
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