Kohrman C H, Lyttle C S, Andersen R M, Levey G S
Center for Health Administration Studies, University of Chicago, Ill.
Arch Intern Med. 1989 Oct;149(10):2179-85.
In response to concerns among internists following the 1987 internal medicine match, this report compares internal medicine trainees with those in other specialties since 1972, describes their paths through the internal medicine "pipeline," and documents their distribution and continuation rates in residency and subspecialty fellowship programs. It is based on the National Study of Internal Medicine Manpower, 1987-1988. Between 1972 and 1986 the number of trainees in internal medicine doubled, and the percentage of trainees in internal medicine grew from 20% to 25%, while the percentage in surgical specialties declined from 28% to 19%. The numbers of women and foreign medical school graduates training in internal medicine have continued to increase, but minority representation has stabilized. Women and minorities have lower continuation rates into fellowships, and distinctive patterns of subspecialization are found among women, minorities, and foreign medical school graduates.
针对1987年内科住院医师匹配后内科医生的担忧，本报告比较了自1972年以来内科实习生与其他专业的实习生，描述了他们在内科“人才输送管道”中的路径，并记录了他们在住院医师培训和亚专科进修项目中的分布及持续率。它基于1987 - 1988年全国内科人力研究。1972年至1986年间，内科实习生数量翻了一番，内科实习生的比例从20%增长到25%，而外科专业的比例从28%下降到19%。在内科接受培训的女性和外国医学院毕业生数量持续增加，但少数族裔的比例已趋于稳定。女性和少数族裔进入进修项目的持续率较低，并且在女性、少数族裔和外国医学院毕业生中发现了不同的亚专科模式。
