密歇根州立大学医学院（MSU-CHM）的校友是否比非 MSU-CHM 校友更有可能在其研究生医学教育初级保健项目的地区行医？

Are Michigan State University medical school (MSU-CHM) alumni more likely to practice in the region of their graduate medical education primary care program compared to non-MSU-CHM alumni?

机构信息

Spectrum Health/Michigan State University Internal Medicine Pediatrics Residency Program, 945 Ottawa Ave. NW, Grand Rapids, MI, 49503, USA.

Spectrum Health OME Scholarly Activity Support, 945 Ottawa Ave. NW, Grand Rapids, MI, 49503, USA.

出版信息

BMC Med Educ. 2018 May 24;18(1):113. doi: 10.1186/s12909-018-1225-z.

DOI:10.1186/s12909-018-1225-z

PMID:29793474

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5968473/

Abstract

BACKGROUND

Over the past 10 years, three new MD schools have been created in the state of Michigan, while the Michigan State University College of Human Medicine (MSU-CHM) has increased their class size to 850 students. The aim of this study was to determine if MSU-CHM alumni who graduate from an MSU-affiliated primary care residency from a single graduate medical education (GME) training program in Michigan are more likely to go on to practice in close proximity to the location of their training program immediately after graduation compared to non MSU-CHM alumni. Changes over time in the proportion of primary care graduates who received fellowship training immediately following residency were also compared between these groups.

METHODS

A review of historical data was performed for all 2000-2016 primary care (Family Medicine, FM; Internal Medicine, IM; Internal Medicine-Pediatrics, IMP; Pediatrics, Peds) program graduates sponsored by Grand Rapids Medical Education Partners (GRMEP). Study variables included primary care program, gender, age at graduation, fellowship training, practice location immediately after graduation and undergraduate medical education location. Summary statistics were calculated for the data. Comparisons were made using the chi-square test or Fisher's Exact test when appropriate. Significance was assessed at p < 0.05.

RESULTS

There were 478 primary care program graduates who went into practice immediately following graduation, 102 of whom also graduated from MSU-CHM. Just over half of the graduates were female and the average age at graduation was 32 years. There were 152 FM, 150 IM, 50 IMP and 126 Peds graduates. Those that graduated from both MSU-CHM and GRMEP were more likely to practice in Michigan immediately after residency training (79.4% vs 52.0%; p < 0.001), as well as within 100 miles of GRMEP (71.6% vs 46.4%; p < 0.001). There were 8% of MSU-CHM primary care graduates who went on to fellowship training from 2000 to 2009, increasing to 34% from 2010 to 2016 (p < 0.001).

CONCLUSION

Medical school graduates of MSU-CHM who receive GME training in primary care are more likely to practice medicine within close proximity to their training site than non MSU-CHM graduates. However, plans for fellowship after training may add one caveat to this finding.

摘要

背景

在过去的 10 年中，密歇根州新增了三所医学研究生院，而密歇根州立大学人类医学院（MSU-CHM）的班级规模已扩大到 850 名学生。本研究旨在确定从密歇根州单一研究生医学教育（GME）培训计划的 MSU 附属初级保健居住处毕业的 MSU-CHM 校友是否更有可能在毕业后立即在接近培训计划的地点进行实践，而不是非 MSU-CHM 校友。还比较了这两组人群中，在接受居住后立即接受专科培训的初级保健毕业生比例随时间的变化。

方法

对 2000 年至 2016 年所有由大急流城医疗教育伙伴关系（GRMEP）赞助的初级保健（家庭医学、FM；内科、IM；内科-儿科、IMP；儿科、Peds）计划的毕业生进行了历史数据回顾。研究变量包括初级保健计划、性别、毕业时的年龄、专科培训、毕业后立即的实践地点以及本科医学教育地点。对数据进行了汇总统计。在适当的情况下，使用卡方检验或 Fisher 精确检验进行比较。评估显著性的标准为 p < 0.05。

结果

有 478 名初级保健计划毕业生在毕业后立即开始行医，其中 102 名毕业生毕业于 MSU-CHM。毕业生中超过一半为女性，平均毕业年龄为 32 岁。有 152 名 FM、150 名 IM、50 名 IMP 和 126 名 Peds 毕业生。从 MSU-CHM 和 GRMEP 毕业的毕业生更有可能在居住后培训后立即在密歇根州行医（79.4%比 52.0%；p < 0.001），也更有可能在距离 GRMEP 100 英里以内行医（71.6%比 46.4%；p < 0.001）。2000 年至 2009 年，有 8%的 MSU-CHM 初级保健毕业生接受专科培训，而 2010 年至 2016 年，这一比例增至 34%（p < 0.001）。