Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Michael G. DeGroote School of Medicine, McMaster University, Waterloo Regional Campus, Kitchener, ON, Canada.
Can J Aging. 2023 Sep;42(3):396-403. doi: 10.1017/S071498082200054X. Epub 2023 Apr 17.
Physicians with postgraduate training in caring for older adults-geriatricians, geriatric psychiatrists, and Care of the Elderly family physicians (FM-COE)-have expertise in managing complex care needs. Deficits in the geriatric-focused physician workforce coupled with the aging demographic necessitate an increase in training and clinical positions. Descriptive analyses of data from established matching systems have not occurred to understand the preferences and outcomes of applicants to geriatric-focused postgraduate training. This study describes applicant and match trends for geriatric-focused postgraduate training in Canada. In this retrospective cohort study, data from the Canadian Resident Matching Service and FM-COE program directors were analysed to examine program quotas, applicants' preferences, and match outcomes by medical school and over time. Based on their first-choice specialty ranking, applicants to geriatric medicine and FM-COE signalled a preference to pursue these programs and tended to match successfully. The proportion of unfilled training positions has increased in recent years, and the number of applicants has not increased consistently over time. There is a disparity between applicants to geriatric-focused training and the health human resources to meet population-level needs. Garnering interest among medical trainees is essential to address access and equity gaps.
接受过老年医学研究生培训的医生——老年病学家、老年精神病学家和老年家庭医生（FM-COE）——在管理复杂的护理需求方面具有专业知识。老年医学重点医生劳动力的不足加上人口老龄化，需要增加培训和临床岗位。尚未进行针对老年医学重点研究生培训的申请人偏好和结果的描述性分析，以了解其偏好和结果。本研究描述了加拿大老年医学重点研究生培训的申请人和匹配趋势。在这项回顾性队列研究中，分析了加拿大住院医师匹配服务和 FM-COE 项目主任的数据，以检查医学院和随时间推移的项目配额、申请人的偏好以及匹配结果。根据他们的第一选择专业排名，申请老年医学和 FM-COE 的人表示希望从事这些项目，并倾向于成功匹配。近年来，未填补的培训职位比例有所增加，而申请人的数量并未随着时间的推移持续增加。在老年医学重点培训的申请人和满足人口水平需求的卫生人力资源之间存在差距。吸引医学生的兴趣对于解决准入和公平差距至关重要。
