Department of Community Health Sciences, State University of New York, Downstate Medical Center, School of Public Health, 450 Clarkson Avenue, , Box 43, , Brooklyn, NY, 11203, USA,
J Urban Health. 2014 Apr;91(2):394-402. doi: 10.1007/s11524-013-9829-4.
This study sought to determine whether medical students who participate in a global health elective in a low-income country select residencies in primary care at higher rates compared with their classmates and US medical graduates in general. Given the projected increase in demand for primary care physicians, particularly in underserved areas, understanding possible factors that encourage training in primary care or enhance interest in the care of underserved populations may identify opportunities in medical school training. The authors used data from the Office of Student Affairs, SUNY Downstate College of Medicine and the National Residency Matching Program to compare rates of primary care residency selection from 2004 to 2012. Residency selections for students who participated in the SUNY Downstate School of Public Health Global Health Elective were compared with those of their classmates and with residency match data for US seniors. In 7 of the 8 years reviewed, students who participated in the SUNY Downstate School of Public Health Global Health Elective selected primary care residencies at rates higher than their classmates. Across years, 57% of the students who completed the elective matched to primary care residences, which was significantly higher than the 44% for the remainder of Downstate's medical student class (p = 0.0023). In 6 of the 8 years, Downstate students who participated in the Global Health Elective selected primary care residencies at rates higher than US medical school seniors in general; rates were the same for both Downstate Global Health Elective students and US medical school seniors in 2009. Students who participated in a global health experience in a low-income country selected primary care residencies at higher rates than their classmates and US medical school graduates in general. Understanding how these experiences correlate with residency selection requires further investigation; areas of future study are discussed.
本研究旨在确定与同学和美国医学毕业生相比，在低收入国家参加全球健康选修课程的医学生选择基层医疗住院医师实习的比例是否更高。鉴于对初级保健医生的需求预计会增加，尤其是在服务不足的地区，了解鼓励初级保健培训或增强对服务不足人群护理兴趣的可能因素，可能会发现医学院培训中的机会。作者利用来自纽约州立大学下州医学中心学生事务办公室和全国住院医师匹配计划的数据，比较了 2004 年至 2012 年选择基层医疗住院医师实习的比例。将参加纽约州立大学下州公共卫生全球健康选修课程的学生的住院医师选择与他们的同学以及美国高年级学生的住院医师匹配数据进行了比较。在审查的 8 年中的 7 年中，参加纽约州立大学下州公共卫生全球健康选修课程的学生选择基层医疗住院医师实习的比例高于他们的同学。在这几年中，有 57%完成该选修课程的学生选择了基层医疗住所，这明显高于下州医学生班级其余同学的 44%（p = 0.0023）。在 8 年中的 6 年中，参加全球健康选修课程的下州学生选择基层医疗住院医师实习的比例高于美国医学专业的高年级学生；在 2009 年，下州全球健康选修课程的学生和美国医学专业高年级学生的比例相同。在低收入国家参加全球健康体验的学生选择基层医疗住院医师实习的比例高于他们的同学和美国医学毕业生。了解这些经历与住院医师选择的相关性需要进一步调查；讨论了未来研究的领域。
