Pols J, Venhorst V A, Brunori C, Jaarsma A D C, Duvivier R J
Rijksuniversiteit-UMCG, Center forEducational Development and Research in Health Sciences Groningen, Groningen.
Contact: J. Pols (
Ned Tijdschr Geneeskd. 2021 Apr 15;165:D5388.
To describe trends and developments in the total duration of training medical specialists in the Netherlands, including their ages upon completion of the components of medical education: undergraduate medical program, waiting time and further post-graduate specialist training.
Population cohort study.
From the combined data from Statistics Netherlands and the Registration Committee for Medical Specialists for the period 1986 to 2018 relevant populations were selected and training trajectories were mapped. The population size was 40,604 individuals for undergraduate medical programs, 41,885 for the duration of post-graduate specialist training, 31,915 for the waiting periods and 21666 for the total duration of the trajectory from the start of medical school until registration as a specialist.
The median duration of undergraduate medical programs was 7.1 years, which is longer than the nominal duration and this remained unchanged over the observation period. The average waiting time between graduating medical school and postgraduate specialist training has increased from 2010 onwards to 3.7 years in 2018. The average duration of postgraduate specialist training is increasing. The average age at graduation of medical school fell by 1.7 years to 26.1. The average age at the start of post-graduate specialist training decreased, as did the average age at registration as a specialist.
The total duration of training of medical specialists is stable. Changes such as "dedicated transition year" and flexible arrangements for postgraduate training have had no discernible influence on the total duration of medical training. Because the average age at start of postgraduate specialist training has decreased, medical specialists are on average younger upon registration.
描述荷兰医学专科医生培训总时长的趋势和发展情况，包括完成医学教育各阶段时的年龄：本科医学课程、等待时间以及进一步的专科研究生培训。
人群队列研究。
从荷兰统计局和医学专科注册委员会1986年至2018年的合并数据中选取相关人群，并绘制培训轨迹。本科医学课程的人群规模为40604人，专科研究生培训时长的人群规模为41885人，等待期的人群规模为31915人，从医学院入学到注册为专科医生的整个轨迹总时长的人群规模为21666人。
本科医学课程的中位时长为7.1年，长于名义时长，且在观察期内保持不变。从医学院毕业到专科研究生培训的平均等待时间自2010年起增加，到2018年达到3.7年。专科研究生培训的平均时长在增加。医学院毕业时的平均年龄下降了1.7岁，降至26.1岁。专科研究生培训开始时的平均年龄以及注册为专科医生时的平均年龄均有所下降。
医学专科医生的培训总时长稳定。“专门过渡年”和研究生培训的灵活安排等变化对医学培训的总时长没有明显影响。由于专科研究生培训开始时的平均年龄下降，注册时医学专科医生的平均年龄更年轻。
