Transitional Internship Department, Naval Medical Center Portsmouth, Portsmouth, VA.
Department of Radiology, Tripler Army Medical Center, Honolulu, HI.
J Spec Oper Med. 2024 Oct 2;24(3):18-23. doi: 10.55460/IE0C-FFK0.
The Military Health System is a unique subsector within the nation's Graduate Medical Education (GME), with a different incentive structure for specialty selection for military medical students compared with their civilian counterparts. Changes by the Defense Health Agency (DHA) in 2017 emphasized a shift in military GME to training "operational" medical specialties. This study sought to gain insight into military medical students' reactions to the 2017 DHA transition by examining whether students continued to select "operational" specialties at similar rates as well as whether students remained satisfied with attending medical school.
We performed a retrospective analysis of Uniformed Services University (USU) post-match students from 2015 to 2020 using anonymized data from the Association of American Medical Colleges (AAMC) Graduation Questionnaire, separated into pre-DHA (2015-2017) and post-DHA (2018-2020) transition groups.
Regarding both intent to practice an operational specialty and satisfaction with choosing medical school, there was no statistically significant difference between the preand post-DHA transition groups.
Whether preor post-DHA transition, USU medical students demonstrated similar preferences for operational specialties as well as similar levels of satisfaction with medical school attendance, suggesting that this transition may not significantly influence medical students' career preferences nor blunt their desire to enter military medicine.
军事卫生系统是国家研究生医学教育（GME）中的一个独特分支，与平民相比，军事医学生在专业选择方面的激励结构有所不同。国防卫生局（DHA）在 2017 年进行的改革强调了军事 GME 向培训“作战”医学专业的转变。本研究通过检查学生是否继续以类似的比率选择“作战”专业，以及学生是否仍然对就读医学院感到满意，来深入了解军事医学生对 2017 年 DHA 转变的反应。
我们使用美国医学院协会（AAMC）毕业问卷调查的匿名数据，对 2015 年至 2020 年期间的统一服务大学（USU）后匹配学生进行了回顾性分析，分为 DHA 前（2015-2017 年）和 DHA 后（2018-2020 年）过渡组。
无论是有意从事作战专业，还是对选择医学院的满意度，DHA 前和后过渡组之间均无统计学差异。
无论是否在 DHA 过渡之前或之后，USU 医学生对作战专业的偏好以及对就读医学院的满意度相似，这表明这种过渡可能不会对医学生的职业偏好产生重大影响，也不会削弱他们进入军队的愿望。
