Ramos Raddy L, Cuoco Joshua A, Guercio Erik, Levitan Thomas
J Am Osteopath Assoc. 2016 Jul 1;116(7):462-71. doi: 10.7556/jaoa.2016.090.
Given the well-documented shortage of physicians in primary care and several other specialties, quantitative understanding of residency application and matching data among osteopathic and allopathic medical students has implications for predicting trends in the physician workforce.
To estimate medical student interest in neurology and psychiatry based on numbers of applicants and matches to neurology and psychiatry osteopathic and allopathic residency programs. Also, to gauge students' previous academic experience with brain and cognitive sciences.
The number of available postgraduate year 1 positions, applicants, and matches from graduating years 2011 through 2015 were collected from the National Matching Services Inc and the American Association of Colleges of Osteopathic Medicine for osteopathic programs and the National Resident Matching Program and the Association of American Medical Colleges for allopathic programs. To determine and compare osteopathic and allopathic medical students' interest in neurology and psychiatry, the number of positions, applicants, and matches were analyzed considering the number of total osteopathic and allopathic graduates in the given year using 2-tailed χ2 analyses with Yates correction. In addition, osteopathic and allopathic medical schools' websites were reviewed to determine whether neurology and psychiatry rotations were required. Osteopathic medical students' reported undergraduate majors were also gathered.
Compared with allopathic medical students, osteopathic medical students had significantly greater interest (as measured by applicants) in neurology (χ21=11.85, P<.001) and psychiatry (χ21=39.07, P<.001), and an equal proportion of osteopathic and allopathic medical students matched in neurology and psychiatry residency programs. Approximately 6% of osteopathic vs nearly 85% of allopathic medical schools had required neurology rotations. Nearly 10% of osteopathic applicants and matriculants had undergraduate coursework in brain and cognitive sciences.
Osteopathic medical students demonstrated greater interest than allopathic medical students in neurology and psychiatry based on the proportion of residency program applicants but similar interests as measured by matches. Required rotations did not appear to influence students' interests.
鉴于初级保健及其他几个专业的医生短缺情况已得到充分记录，对骨科和全科医学学生的住院医师申请及匹配数据进行定量了解，对于预测医生劳动力的趋势具有重要意义。
根据申请人数以及与骨科和全科住院医师项目中神经科和精神科的匹配情况，估计医学生对神经科和精神科的兴趣。此外，评估学生此前在脑科学和认知科学方面的学术经历。
从国家匹配服务公司和美国骨科医学院协会收集了2011年至2015年毕业年份的骨科项目的一年级研究生可用职位数量、申请人数量和匹配情况，以及从国家住院医师匹配项目和美国医学院协会收集了全科项目的相关数据。为了确定并比较骨科和全科医学生对神经科和精神科的兴趣，使用带有耶茨校正的双侧χ²分析，根据给定年份的骨科和全科毕业生总数，对职位数量、申请人数量和匹配情况进行了分析。此外，还查阅了骨科和全科医学院的网站，以确定是否要求进行神经科和精神科轮转。还收集了骨科医学生报告的本科专业。
与全科医学生相比，骨科医学生对神经科（χ²1 = 11.85，P <.001）和精神科（χ²1 = 39.07，P <.001）的兴趣（以申请人数量衡量）明显更高，并且在神经科和精神科住院医师项目中匹配的骨科和全科医学生比例相当。约6%的骨科医学院与近85%的全科医学院要求进行神经科轮转。近10%的骨科申请人和录取学生有脑科学和认知科学的本科课程。
根据住院医师项目申请人的比例，骨科医学生对神经科和精神科的兴趣高于全科医学生，但以匹配情况衡量，两者兴趣相似。要求的轮转似乎并未影响学生的兴趣。
