Cummings M
New York College of Osteopathic Medicine, Old Westbury 11568.
J Am Osteopath Assoc. 1990 Apr;90(4):353-62.
During the 1980s, the two major influences in osteopathic medical education were the increasingly large number of new DOs seeking internships and residencies and the loss of training sites as a result of the shrinking osteopathic hospital network. Owing mainly to a declining interest in primary care by young MDs, allopathic postdoctoral program directors, particularly in primary care specialties, began to actively recruit osteopathic physicians. An oversupply of positions on the allopathic postdoctoral side and an undersupply of residency positions in osteopathic postdoctoral programs contributed to a crossover trend. The programs approved by the Accreditation Council for Graduate Medical Education have made significant inroads in attracting DOs. It has reached the point where two out of every three DOs currently training in a primary care residency can be found in an allopathic program. If it continues, this pattern will have a significant impact on the character of osteopathic medical education.
在20世纪80年代，整骨医学教育受到两大影响：一是寻求实习和住院医师培训的新整骨医师数量日益增多，二是整骨医院网络不断萎缩导致培训地点减少。主要由于年轻的医学博士对初级保健的兴趣下降，全科医学博士后项目主任，尤其是初级保健专业的主任，开始积极招募整骨医师。全科医学博士后方面职位供过于求，而整骨医学博士后项目的住院医师职位供不应求，这促成了一种交叉趋势。研究生医学教育认证委员会批准的项目在吸引整骨医师方面取得了重大进展。目前，每三名接受初级保健住院医师培训的整骨医师中就有两名在全科医学项目中。如果这种模式持续下去，将对整骨医学教育的性质产生重大影响。
