Graettinger J S
National Resident Matching Program, Evanston, Illinois.
Ann Intern Med. 1988 Jan;108(1):101-15. doi: 10.7326/0003-4819-108-1-101.
The number and percentage of graduating seniors from medical schools in the United States who have matched to categorical programs in internal medicine in the National Resident Matching Program have decreased since 1985. Examination of the balance between undergraduate and graduate medical education in the 127 networks of each medical school in the United States and its associated hospitals showed major differences in the retention and recruitment of graduates. The service needs of hospitals rather than the number of graduates from schools in the United States would seem to have controlled the number of positions. Because the positions exceeding the number of graduates from the United States are filled by graduates of foreign schools, these positions are of major importance in determining the supply of internists. The clerkship programs must be restructured to provide students an improved introduction to internal medicine, and the number of entering positions in residencies must be reduced by the substitution of other personnel to do some of the service functions now done by residents.
自1985年以来，在美国国家住院医师匹配计划中，与内科分类项目相匹配的医学院应届毕业生的数量和比例有所下降。对美国每所医学院及其附属医院的127个网络中本科医学教育与研究生医学教育之间的平衡进行考察后发现，毕业生的留校和招聘存在重大差异。似乎是医院的服务需求而非美国医学院的毕业生数量控制了职位数量。由于超出美国毕业生数量的职位由外国学校的毕业生填补，这些职位在确定内科医生的供应方面至关重要。必须对实习项目进行重组，以便为学生提供更好的内科入门教育，并且必须通过替换其他人员来承担目前由住院医师完成的一些服务职能，从而减少住院医师培训项目中的入职职位数量。
