Baker Stephen R, Tilak Gauri S, Thakur Uma
University of Medicine and Dentistry of New Jersey-New Jersey Medical School, University Hospital, Level C-320, 150 Bergen Street, Newark, NJ 07103, USA.
Acad Radiol. 2008 May;15(5):662-8. doi: 10.1016/j.acra.2007.12.006.
The purpose of the study is to determine if transitional year program (TYP) requirements foster realization of standards of excellence and clinical relevance for future radiologists and to explore demographic and economic factors pertinent to TYPs.
A list of accredited TYPs were obtained from the American Medical Association's Graduate Medical Education (ACGME) Directory 2006-2007. Specialty distribution of TYP graduates was examined from statistics provided by the ACGME, and data from the 2007 Main Residency Match was analyzed. Data derived from a concurrent survey of the perception of the value of internship sent to all current radiology residents and fellows was assessed. The institutional costs of employing TYP interns versus physician assistants were also calculated.
Forty-one of the 125 TYPs lack residencies in internal medicine (IM), general surgery (GS), or both, and approximately two-third of these lack full medical school affiliation. The interns who will graduate from these 41 programs account for 103 of the 1,128 radiology residents in their post-graduate year 2. Despite the longest elective time offered in TYPs compared to conventional preliminary programs, current radiology trainees who had participated in preliminary IM or GS internships were more satisfied compared to trainees completing TYPs.
The requirements of the transitional internship and compliance with them need to be carefully assessed to determine their efficacy. Despite the strong economic impetus for hiring TYP interns, the availability of open slots in existing preliminary programs in IM and GS, coupled with radiology residents' greater level of satisfaction with traditional over transitional internships, makes the existence of TYPs less compelling.
本研究旨在确定过渡年项目（TYP）要求是否有助于未来放射科医生实现卓越标准和临床相关性，并探讨与TYP相关的人口统计学和经济因素。
从美国医学协会研究生医学教育（ACGME）2006 - 2007年目录中获取经认可的TYP列表。根据ACGME提供的统计数据检查TYP毕业生的专业分布，并分析2007年主要住院医师匹配数据。评估了同时向所有现任放射科住院医师和研究员发送的关于实习价值认知的调查数据。还计算了雇佣TYP实习生与医师助理的机构成本。
125个TYP中有41个缺乏内科（IM）、普通外科（GS）或两者的住院医师培训，其中约三分之二缺乏完整的医学院附属关系。将从这41个项目毕业的实习生占其研究生二年级1128名放射科住院医师中的103名。尽管与传统的初步项目相比，TYP提供的选修时间最长，但与完成TYP的实习生相比，参加过IM或GS初步实习的现任放射科实习生更满意。
需要仔细评估过渡实习的要求及其合规性以确定其有效性。尽管雇佣TYP实习生有强大的经济动力，但IM和GS现有初步项目中的空缺名额，加上放射科住院医师对传统实习比对过渡实习满意度更高，使得TYP的存在不那么有说服力。
