在美国和加拿大体系下招募外科培训生——哪些策略是有效的？
Recruiting trainees to surgery in the United States and Canadian system - What strategies are effective?
机构信息
Division of Vascular and Endovascular Surgery, University of Texas Health at San Antonio, San Antonio, TX, USA; South Texas Center for Vascular Care South Texas Medical Center, San Antonio, TX, USA.
Shanghai Medical College, Fudan University, Shanghai, China.
出版信息
Am J Surg. 2021 Feb;221(2):410-423. doi: 10.1016/j.amjsurg.2020.12.006. Epub 2020 Dec 3.
BACKGROUND
There has been increasing concerns regarding the declining number of medical students entering surgical residencies. The aim of this study is to analyze strategies and outcomes to enhance recruitment to the surgical specialties.
METHODS
A systematic literature PRISMA-based search was performed. Study quality and bias were assessed. Meta-analysis was performed using DerSimonian Laird method.
RESULTS
Of 3288 unique titles identified, 73 studies met inclusion criteria. Median study unique sample size was 84 participants (range 15-910). Subjective interest was reported in 59 studies, while objective match rate was reported by only 21 studies. The cumulative odds of students interested in the studied specialty was 1.98 (95% CI 1.47-2.67, I = 0%) and in any surgical specialty was 1.40 (95% 1.01-1.95, I = 37%) after an intervention compared to baseline.
CONCLUSION
While studies show increased odds of "interested in" a surgical specialty, the results may be subject to high selective and confounding biases.
背景
越来越多的人关注到进入外科住院医师培训的医学生人数不断减少。本研究旨在分析加强外科专业招生的策略和结果。
方法
进行了基于 PRISMA 的系统文献检索。评估了研究质量和偏倚。采用 DerSimonian Laird 法进行荟萃分析。
结果
在 3288 个独特的标题中，有 73 项研究符合纳入标准。中位数研究的独特样本量为 84 名参与者（范围 15-910）。59 项研究报告了主观兴趣，而只有 21 项研究报告了客观匹配率。与基线相比，干预后学生对研究专业感兴趣的累积优势比为 1.98（95%CI 1.47-2.67，I=0%），对任何外科专业感兴趣的累积优势比为 1.40（95%CI 1.01-1.95，I=37%）。
结论
虽然研究表明“对”外科专业的兴趣增加了，但结果可能受到高选择性和混杂偏倚的影响。
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