Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, Kobe, Japan.
Department of Internal Medicine, Hyogo Prefectural Tamba Medical Center, Tamba, Japan.
Ann Med. 2024 Dec;56(1):2396560. doi: 10.1080/07853890.2024.2396560. Epub 2024 Aug 29.
This study intended to evaluate the medium-term effectiveness of a community-based medical education (CBME) program and to determine the program's influence on the application rates of regional-quota students seeking to become residents in Tamba, Japan.
We conducted a cohort study of regional-quota students. Exposure factors included (1) experience compared to no experience of CBME in the Tamba area; (2) CBME experience compared to no experience in Tamba in the senior years (4-6 years of medical school) and experience in the junior years (1-3 years of medical school); and (3) experience in the senior years compared with those in the junior years. Outcome measures were applications to become a medical resident and actually becoming a medical resident at the Hyogo Prefectural Tamba Medical Center.
Of 94 participants, 58 (61.7%) were male and 37 students (39.4%) had previous CBME experience in the Tamba area. In applying to become a resident at the Hyogo Prefectural Tamba Medical Center, students who had experienced CBME in the Tamba area in their senior years had significantly higher adjusted risk ratios compared to those who experienced it in their junior years. Regarding applications to become a resident, students who had experienced CBME in the Tamba area in their senior years had a significantly higher adjusted risk ratio than students who had not experienced CBME and students who had experienced CBME in their junior years.
There was a statistically significant application rate for residency programs among medical students who participated in the CBME program in their senior years compared with those who did not. This is the first study to confirm the medium-term effects of CBME after several years in short-term CBME programs of three days and two nights.
本研究旨在评估基于社区的医学教育（CBME）项目的中期效果，并确定该项目对坦巴地区地区配额学生申请成为居民的应用率的影响。
我们对地区配额学生进行了队列研究。暴露因素包括（1）在坦巴地区有或没有 CBME 经验；（2）高年级（4-6 年医学院）和低年级（1-3 年医学院）在坦巴有或没有 CBME 经验，以及高年级有 CBME 经验；（3）高年级与低年级相比的 CBME 经验。结果测量是申请成为医学住院医师和实际上成为兵库县坦巴医疗中心的医学住院医师。
在 94 名参与者中，有 58 名（61.7%）是男性，有 37 名学生（39.4%）在坦巴地区有过之前的 CBME 经验。在申请成为兵库县坦巴医疗中心的住院医师时，在高年级有过坦巴地区 CBME 经验的学生的调整后风险比明显高于在低年级有过 CBME 经验的学生。关于申请成为住院医师，在高年级有过坦巴地区 CBME 经验的学生的调整后风险比明显高于没有 CBME 经验的学生和在低年级有过 CBME 经验的学生。
与没有参加 CBME 项目的学生相比，参加高年级 CBME 项目的医学生的住院医师项目申请率有统计学上的显著提高。这是第一项在短期 CBME 项目（为期三天两夜）几年后确认 CBME 中期效果的研究。
