Office for Clinical Practice and Medical Education, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
BMC Med Educ. 2021 Feb 2;21(1):85. doi: 10.1186/s12909-021-02520-2.
The Japan Residency Matching Program (JRMP) launched in 2003 and is now a significant event for graduating medical students and postgraduate residency hospitals. The environment surrounding JRMP changed due to Japanese health policy, resulting in an increase in the number of unsuccessfully-matched students in the JRMP. Beyond policy issues, we suspected there were also common characteristics among the students who do not get a match with residency hospitals.
In total 237 out of 321 students at The University of Tokyo Faculty of Medicine graduates from 2018 to 2020 participated in the study. The students answered to the questionnaire and gave written consent for using their personal information including the JRMP placement, scores of the pre-clinical clerkship (CC) Objective Structured Clinical Examinations (OSCE), the Computer-Based Test (CBT), the National Board Examination (NBE), and domestic scores for this study. The collected data were statistically analyzed.
The JRMP placements were correlated with some of the pre-CC OSCE factors/stations and/or total scores/global scores. Above all, the result of neurological examination station had most significant correlation between the JRMP placements. On the other hand, the CBT result had no correlation with the JRMP results. The CBT results had significant correlation between the NBE results.
Our data suggest that the pre-clinical clerkship OSCE score and the CBT score, both undertaken before the clinical clerkship, predict important outcomes including the JRMP and the NBE. These results also suggest that the educational resources should be intensively put on those who did not make good scores in the pre-clinical clerkship OSCE and the CBT to avoid the failure in the JRMP and the NBE.
日本住院医师匹配项目（JRMP）于 2003 年启动，现已成为医学生毕业和研究生住院医师医院的重要事件。由于日本的卫生政策，JRMP 的环境发生了变化，导致 JRMP 中未成功匹配的学生人数增加。除了政策问题，我们还怀疑在没有与住院医师医院匹配的学生中也存在共同特征。
东京大学医学部 2018 年至 2020 年的 321 名毕业生中有 237 名学生参加了这项研究。学生们回答了问卷，并书面同意使用他们的个人信息，包括 JRMP 安置、临床前实习（CC）客观结构化临床考试（OSCE）成绩、计算机化考试（CBT）、全国委员会考试（NBE）和国内成绩。收集的数据进行了统计分析。
JRMP 安置与一些 CC 前 OSCE 因素/站和/或总分/全球分数相关。最重要的是，神经检查站的结果与 JRMP 安置之间存在最显著的相关性。另一方面，CBT 结果与 JRMP 结果无关。CBT 结果与 NBE 结果之间存在显著相关性。
我们的数据表明，临床前实习 OSCE 分数和 CBT 分数，这两个分数都是在临床实习之前进行的，预测了包括 JRMP 和 NBE 在内的重要结果。这些结果还表明，应该将教育资源集中在那些在临床前实习 OSCE 和 CBT 中成绩不佳的人身上，以避免 JRMP 和 NBE 的失败。
