Hisanaga Ryuichi, Takahashi Toshiyuki, Sato Toru, Yotsuya Mamoru, Shinya Akimasa, Miyake Nahoko
Department of Fixed Prosthodontics, Tokyo Dental College.
Bull Tokyo Dent Coll. 2017;58(1):57-64. doi: 10.2209/tdcpublication.2016-0900.
The goal of the present study was to clarify the status of training in clinical dentistry at training facilities belonging to Tokyo Dental College by investigating trainee quota fill rates and analyzing the relationship between selection of training program and subsequent career pathway. The trainees were divided into 4 groups based on career pathway after training: those entering graduate school; those becoming residents; those remaining at the college or hospital to take specialized clinical courses or for other purposes; and those starting work outside the college. The trainee quota fill rate was highest at the Suidobashi Hospital, followed by the Ichikawa General and Chiba Hospitals. A total of 8 training programs have been implemented at these facilities (Chiba: A, B, C, and D; Suidobashi, A, B, and C; and Ichikawa, A). A comparison among training programs revealed that the fill rate exceeded 60% in all cases, except for Chiba D, where it was markedly lower, at 25%. Career pathway after training significantly varied between training facilities. Among trainees selecting the Chiba Hospital, the highest proportion was occupied by those starting work outside the college. The proportion of those entering graduate school was also high in this group. Similarly, among trainees selecting the Suidobashi Hospital, the highest proportion was occupied by those starting work outside the college. The proportion of those entering graduate school was low in this group, however. Among trainees selecting the Ichikawa General Hospital, the proportions of those entering graduate school and those becoming residents were particularly high, while the proportion of those starting work outside the college was low. A comparison of career pathways revealed a significant difference only between Chiba Programs B and C. In conclusion, training facility showed a markedly stronger influence on career pathway than training program.
本研究的目的是通过调查学员配额填充率并分析培训项目选择与后续职业道路之间的关系，来阐明东京齿科大学所属培训设施的临床牙科培训状况。根据培训后的职业道路，将学员分为4组：进入研究生院的学员；成为住院医师的学员；留在学院或医院参加专业临床课程或出于其他目的的学员；以及在学院外开始工作的学员。水户桥医院的学员配额填充率最高，其次是市川综合医院和千叶医院。这些设施共实施了8个培训项目（千叶：A、B、C和D；水户桥：A、B和C；市川：A）。培训项目之间的比较显示，除千叶D项目填充率明显较低，为25%外，其他所有项目的填充率均超过60%。培训设施之间培训后的职业道路差异显著。在选择千叶医院的学员中，学院外开始工作的学员比例最高。该组中进入研究生院的学员比例也很高。同样，在选择水户桥医院的学员中，学院外开始工作的学员比例最高。然而，该组中进入研究生院的学员比例较低。在选择市川综合医院的学员中，进入研究生院和成为住院医师的学员比例特别高，而学院外开始工作的学员比例较低。职业道路比较显示，仅千叶项目B和C之间存在显著差异。总之，培训设施对职业道路的影响明显强于培训项目。
