Department of Planning, Information and Management, The University of Tokyo Hospital, Japan.
Med Teach. 2010;32(6):e239-47. doi: 10.3109/01421591003695311.
In 2004, a new postgraduate medical training system was introduced in Japan and a shift of new graduates from university hospitals to other postgraduate education hospitals happened.
The aim of this study is to analyse the past trends on postgraduate medical education choices and subsequent career options to discuss possible outcomes of the current shift and policy implications.
Data from the national physician survey from 1976 to 2006 were analysed. The proportion change of physicians started their career in university hospitals was calculated. The career paths for physicians by different residency type were presented.
More than 90% of physicians experienced university hospital work at least once in their 20-year careers. In their first 10 years of their career, physicians who started their residency in a university hospital tended to spend more years working in university hospitals, and those who started in other post-graduate training hospitals tended to spend less in university hospitals. Then, these groups presented quite similar patterns in their career choices.
University hospitals need to strengthen their function as continuing education and career development centres and to adopt a less paternalistic approach, as fewer residents start their career in university hospitals.
2004 年，日本引入了新的研究生医学培训体系，大学医院的应届毕业生开始转移到其他研究生教育医院。
本研究旨在分析过去研究生医学教育选择的趋势以及随后的职业选择，以讨论当前转移的可能结果和政策意义。
分析了 1976 年至 2006 年的全国医师调查数据。计算了在大学医院开始职业生涯的医生比例变化。展示了不同住院医师类型的医生的职业道路。
超过 90%的医生在他们 20 年的职业生涯中至少有过一次在大学医院工作的经历。在职业生涯的前 10 年，在大学医院开始住院医师培训的医生往往在大学医院工作的时间更长，而在其他研究生培训医院开始的医生则在大学医院工作的时间更短。然后，这些群体在职业选择上呈现出非常相似的模式。
大学医院需要加强其作为继续教育和职业发展中心的功能，并采取不那么家长式的方法，因为越来越少的住院医师在大学医院开始他们的职业生涯。
