Wayne State University School of Medicine, Detroit, United States of America.
Department of Urology, Kaiser Permanente Los Angeles Medical Center, 4900 Sunset Blvd, 2nd Floor, Los Angeles, CA, 90027, United States of America.
Hum Resour Health. 2023 Jul 27;21(1):58. doi: 10.1186/s12960-023-00846-0.
There remains a question of whether graduates trained internally are different than those trained elsewhere. We examine the difference between physicians trained within our Graduate Medical Education (GME) programs versus physicians trained elsewhere. Our large integrated healthcare system is unique in addressing this objective due to its large physician labor hiring needs across different specialties of GME graduates.
A retrospective review was performed from Jan 2000 to August 2020 of Kaiser Permanente Southern California (KPSC) physicians hired: KPSC GME trained versus non-KPSC GME trained. We examined five variables: retention, leadership (current or historical), physician relations cases, member appraisal of physician and provider services survey (MAPPS) scores, and rate of board certification. Chi-square test of proportions was used for comparison, p < 0.05 was significant.
From Jan 2000 to August 2020, 2940 residents and fellows graduated from KPSC GME programs, of which 1127 (38%) were hired on at KPSC as full time attendings. Across all five metrics (Retention 82% vs 76% (p = < 0.01), Leadership [current 13% vs 10% (p = < 0.01)or historical 17% vs 14% (p = 0.01)], Physician Relations 23% vs 26% (p = 0.04), MAPPS 75% vs 69% (p = < 0.01), and Board Certification 81% vs 74% (p = < 0.01)), KPSC outperformed non-KPSC GME-trained physicians to a statistically significant degree.
We have shown that an internally sponsored GME program can represent an opportunity for recruitment of physicians that may have higher retention rates, higher probability of being physician leaders, decreased likelihood of physician relations issues, improved patient satisfaction, and increased rates of board certification.
内部培训的毕业生是否与其他地方培训的毕业生有所不同，这仍然是一个问题。我们考察了我们的研究生医学教育（GME）计划内培训的医生与其他地方培训的医生之间的差异。我们庞大的综合医疗体系在解决这一目标方面具有独特性，因为它在不同 GME 毕业生专业领域都有大量的医生劳动力招聘需求。
对 2000 年 1 月至 2020 年 8 月期间在凯撒永久南加州（KPSC）工作的医生进行了回顾性研究：KPSC GME 培训与非 KPSC GME 培训。我们考察了五个变量：保留率、领导力（现任或历史）、医生关系案例、成员对医生和提供者服务调查（MAPPS）的评估以及董事会认证率。采用比例卡方检验进行比较，p<0.05 为差异有统计学意义。
从 2000 年 1 月至 2020 年 8 月，共有 2940 名住院医师和研究员从 KPSC 的 GME 项目毕业，其中 1127 人（38%）被 KPSC 全职聘为主治医生。在所有五个指标（保留率 82%对 76%（p<0.01），领导力[现任 13%对 10%（p<0.01）或历史 17%对 14%（p=0.01）]，医生关系 23%对 26%（p=0.04），MAPPS 75%对 69%（p<0.01）和董事会认证 81%对 74%（p<0.01）），KPSC 的表现明显优于非 KPSC 的 GME 培训医生。
我们已经表明，内部赞助的 GME 计划可以为招聘医生提供机会，这些医生的保留率可能更高、成为医生领袖的可能性更大、医生关系问题的可能性更小、患者满意度提高、以及董事会认证率更高。
