University Medical Center Utrecht, The Netherlands.
Med Teach. 2009 Nov;31(11):e528-32. doi: 10.3109/01421590902842417.
Recently, many medical curricula have been changed into vertically integrated programmes. One of the aims of vertical integration is to facilitate the transition from theoretical to clinical education and from medical school to postgraduate training.
The aim of this study was to determine whether a vertically integrated curriculum affects the transition from medical school to postgraduate training.
We carried out a survey study among graduates of two cohorts of the Utrecht Medical School, who followed either the traditional or the innovative, vertically integrated, curriculum. Topics of the questionnaire were: (a) activities since medical school, (b) required amount of time and number of applications to get admitted to residency, (c) the process of making career choices.
Graduates from the vertically integrated curriculum had made their definite career choice earlier compared to those who followed a traditional programme. Graduates of the new curriculum also needed less time and fewer applications to obtain a residency position.
A vertically integrated curriculum at medical school positively affects the transition to postgraduate training. Additional research, among a larger population, is required to determine which components of the curriculum cause this effect and to specify under which conditions these effect occurs.
最近，许多医学课程已经转变为垂直整合的课程。垂直整合的目的之一是促进从理论到临床教育以及从医学院到研究生培训的过渡。
本研究旨在确定垂直整合课程是否会影响从医学院到研究生培训的过渡。
我们对乌得勒支医学院的两批毕业生进行了一项调查研究，他们分别遵循传统的或创新的垂直整合课程。调查问卷的主题包括：（a）医学院毕业后的活动，（b）获得住院医师职位所需的时间和申请数量，（c）职业选择过程。
与传统课程的毕业生相比，垂直整合课程的毕业生更早地做出了明确的职业选择。新课程的毕业生也需要更少的时间和更少的申请就可以获得住院医师职位。
医学院的垂直整合课程对向研究生培训的过渡有积极影响。需要进行更多的研究，以确定课程的哪些部分导致了这种效果，并确定在哪些条件下会产生这种效果。
