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申请住院医师培训项目期间选择参考医院的原因:一项横断面研究。

Reasons for Choosing a Reference Hospital During the Application for Medical Residency Programs: A Cross-Sectional Study.

作者信息

da Fonseca Lima Eduardo Jorge, Cavalcanti Beatriz Queiroz da Apresentação, Capane Bonagura Cavalcante Ana Cecília, Lins Martins Pedro Henrique, Agra Karine Ferreira, Fernandes Afra Suassuna

机构信息

Faculdade Pernambucana de Saúde (FPS), Recife, Brazil.

Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife, Brazil.

出版信息

Adv Med Educ Pract. 2021 Mar 19;12:273-279. doi: 10.2147/AMEP.S295647. eCollection 2021.

Abstract

INTRODUCTION

Medical residency (MR) programs consist of medical education systems based on the healthcare network as a teaching place. The Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) is a referral center for several medical specialties and presents one of the largest MR programs in Brazil.

OBJECTIVE

To assess the main reasons why residents choose a reference hospital to apply for a medical residency position.

METHODS

Cross-sectional study performed with 165 medical residents of a reference hospital (IMIP) located in the Northeast region of Brazil between 2019 and 2020. Sociodemographic characteristics, medical formation, preparation for the residency exam, expectations regarding the program, and the reasons leading the residents to choose the IMIP were assessed.

RESULTS

Most participants initiated the residency program 2 to 3 years after graduating the medical school. Most of the sample (78.8%) took preparation courses for the residency. The main expectations that led the residents to choose the IMIP were: the complexity of cases (81.2%), the number of patients (79.4%), technical quality of the preceptors (76.4%), prestige of the institution (75.1%), and preceptors' motivation (57.6%).

CONCLUSION

Medical residents join residency programs based on expectations of medical practice scenarios that enable an adequate number of patients and quality preceptorship.

摘要

引言

医学住院医师培训(MR)项目是基于医疗网络作为教学场所的医学教育系统。费尔南多·菲盖拉综合医学研究所(IMIP)是多个医学专科的转诊中心,也是巴西最大的MR项目之一。

目的

评估住院医师选择参考医院申请医学住院医师职位的主要原因。

方法

对2019年至2020年期间位于巴西东北部的一家参考医院(IMIP)的165名医学住院医师进行横断面研究。评估了社会人口学特征、医学教育背景、住院医师考试准备情况、对该项目的期望以及住院医师选择IMIP的原因。

结果

大多数参与者在医学院毕业后2至3年开始住院医师培训项目。大部分样本(78.8%)参加了住院医师培训准备课程。导致住院医师选择IMIP的主要期望是:病例的复杂性(81.2%)、患者数量(79.4%)、带教老师的技术水平(76.4%)、机构的声誉(75.1%)以及带教老师的积极性(57.6%)。

结论

医学住院医师基于对医疗实践场景的期望参加住院医师培训项目,这些场景要有足够数量的患者和高质量的带教。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b22/7989047/b5289cd54106/AMEP-12-273-g0001.jpg

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