Rowley B D, Baldwin D C, McGuire M B, Etzel S I, O'Leary C J
Department of Data Systems, American Medical Association.
JAMA. 1990 Aug 15;264(7):822-32.
The annual surveys of residency programs on which this report is based have had a higher than 90% response rate for the 5 years previous to 1989. Because of a change to the new electronic data collection system in 1989, the response rate decreased to 78.3%. To adjust for the lower response rate, a regression model computed from data from previous years was developed that permitted projected estimates for 1989 data. These numbers are included in several key tables. The number of GY-1 positions seems to have decreased for 1990, although this may be an artifact of the response rate. Reported unfilled positions, including GY-1 unfilled positions, have increased each year since 1985. The number of new-entry residents (GY-1) seems to be leveling out after decreasing since 1985. Because of the lower response rate, it is difficult to determine the trend in the total number of residents on duty. While the observed number of residents is lower than in 1988, statistical projections indicate an increase of 5% over the 1988 count. Thirty-nine percent of residents were training in family practice, internal medicine, or pediatrics. The number and percent of women in residency programs has remained relatively stable despite a steady increase in the number of women graduating from US medical schools. The percentage of FMG residents has continued to decrease. The percentage of black non-Hispanic residents remains steady. The number of graduates of osteopathic medical schools in ACGME programs has increased 17% since 1987. The number of institutions involved in graduate medical education has not changed significantly during the past 3 years.
本报告所依据的住院医师培训项目年度调查，在1989年之前的5年里回复率高于90%。由于1989年采用了新的电子数据收集系统，回复率降至78.3%。为了调整较低的回复率，利用前几年的数据建立了一个回归模型，以便对1989年的数据进行预测估计。这些数字包含在几个关键表格中。1990年，妇科一年级住院医师职位数量似乎有所减少，尽管这可能是回复率造成的假象。自1985年以来，报告的空缺职位，包括妇科一年级空缺职位，每年都在增加。自1985年以来持续减少的新入职住院医师（妇科一年级）数量似乎趋于平稳。由于回复率较低，难以确定在职住院医师总数的趋势。虽然观察到的住院医师人数低于1988年，但统计预测表明比1988年的人数增加了5%。39%的住院医师接受家庭医学、内科或儿科培训。尽管从美国医学院毕业的女性人数稳步增加，但住院医师培训项目中女性的数量和比例一直相对稳定。外国医学毕业生住院医师的比例持续下降。非西班牙裔黑人住院医师的比例保持稳定。自1987年以来，参与毕业后医学教育的整骨医学院毕业生人数增加了17%。在过去3年里，参与研究生医学教育的机构数量没有显著变化。
