Ishikawa Masatoshi
International Health, Harvard T.H. Chan School of Public Health, Boston, USA.
Cureus. 2021 Jun 17;13(6):e15711. doi: 10.7759/cureus.15711. eCollection 2021 Jun.
Objective To analyze the relationship between postgraduate residency hospital type and career paths in Japan. Methodology A longitudinal study based on secondary data collected from the national physician census was conducted in Japan. The sample comprised 3,991 residents for the 1996-2006 cohort and 6,153 residents for the 2004-2014 cohort. Results The percentage of residents who trained at university hospitals in their first year of registration decreased dramatically from 70% to 40% due to the 2004 mandatory clinical training reform. In contrast, the percentage of physicians working at university hospitals in their third year of registration increased from 20% to around 40%. Further, the number of physicians who had not worked at university hospitals during their first 10 years increased from 12% in 2004 to 18% in 2014. Conclusions Since the introduction of the mandatory postgraduate clinical training, residents' career paths have changed based on the residency hospital type that they attended. The resident shortage at university hospitals remains a longstanding issue in Japan.
目的 分析日本研究生住院医师培训医院类型与职业发展路径之间的关系。方法 在日本进行了一项基于从全国医师普查收集的二手数据的纵向研究。样本包括1996 - 2006年队列的3991名住院医师和2004 - 2014年队列的6153名住院医师。结果 由于2004年的强制性临床培训改革，在注册第一年于大学医院接受培训的住院医师比例从70%急剧下降至40%。相比之下，在注册第三年在大学医院工作的医师比例从20%增加到约40%。此外，在最初10年未在大学医院工作的医师数量从2004年的12%增加到2014年的18%。结论 自引入强制性研究生临床培训以来，住院医师的职业发展路径已根据他们所就读的住院医师培训医院类型发生了变化。大学医院的住院医师短缺在日本仍然是一个长期问题。
