Jolly Paul, Lischka Terri, Sondheimer Henry
P. Jolly is senior director, Special Studies, Association of American Medical Colleges, Washington, DC. T. Lischka was director, Education Resource Services, American Osteopathic Association, Chicago, Illinois, at the time of this study, and is now project assistant, Graduate Division, School of Professional Studies, Northwestern University, Evanston, Illinois. H. Sondheimer is senior director, Medical Education Projects, Association of American Medical Colleges, Washington, DC.
Acad Med. 2015 Jul;90(7):970-4. doi: 10.1097/ACM.0000000000000649.
To determine the number of DO (doctor of osteopathic medicine) and MD (doctor of medicine) residents in training programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) and the American Osteopathic Association (AOA) and to examine the behavior of DO residents who moved between the two types of programs.
In 2013, the authors linked data on residents reported in ACGME-accredited and AOA-accredited programs in 2009, 2010, and 2011 to produce a count of all residents, including an unduplicated count of residents reported in joint programs. DO residents were identified who moved between AOA-accredited and ACGME-accredited programs.
There were 106,923 MD residents and 14,789 DO residents on duty on December 31, 2011. Fifty-one percent of DO residents were in ACGME-accredited programs, 40% in AOA-accredited programs, and 9% in joint programs. DOs were 12% of all residents and 14% of first-year residents. Of 3,742 DOs and 16,863 MDs graduating in 2009-2010, 663 MDs and 222 DOs were not reported in graduate medical education (GME) in either 2010 or 2011. A larger percentage of DO graduates were training in the primary care specialties, especially in family medicine.
These data provide the first comprehensive accounting of the numbers of individuals in U.S. GME, in both ACGME- and AOA-accredited residencies. The number of graduates from U.S. medical schools is increasing rapidly; residency positions are growing more slowly. The planned unified accreditation of U.S. GME may cause significant changes in the patterns of GME for future trainees.
确定经毕业后医学教育认证委员会（ACGME）和美国骨科协会（AOA）认证的培训项目中，接受培训的骨科医学博士（DO）和医学博士（MD）住院医师人数，并研究在这两类项目之间转换的DO住院医师的行为。
2013年，作者将2009年、2010年和2011年ACGME认证项目和AOA认证项目中报告的住院医师数据进行关联，以统计所有住院医师人数，包括联合项目中报告的住院医师的不重复计数。确定在AOA认证项目和ACGME认证项目之间转换的DO住院医师。
2011年12月31日，有106,923名MD住院医师和14,789名DO住院医师在职。51%的DO住院医师在ACGME认证项目中，40%在AOA认证项目中，9%在联合项目中。DO占所有住院医师的12%，占一年级住院医师的14%。在2009 - 2010年毕业的3,742名DO和16,863名MD中，2010年或2011年毕业后医学教育（GME）中未报告663名MD和222名DO。更大比例的DO毕业生在初级保健专科接受培训，尤其是在家庭医学领域。
这些数据首次全面统计了美国毕业后医学教育中，ACGME和AOA认证的住院医师培训项目中的人员数量。美国医学院校的毕业生人数正在迅速增加；住院医师职位增长较为缓慢。美国毕业后医学教育计划中的统一认证可能会给未来受训人员的毕业后医学教育模式带来重大变化。
