Anderson R E
Hum Pathol. 1978 Mar;9(2):133-42. doi: 10.1016/s0046-8177(78)80104-x.
During the past several years a number of unrelated events have occurred that will have a marked impact upon residency training in pathology in the United States. These factors include: (1) a twofold increase in the annual number of graduates from American medical schools, (2) Public Law 94-484, which will reduce the number of foreign medical graduates eligible for postgraduate training in this country by 70 to 80 per cent, and (3) increased emphasis on permitting Americans studying abroad to transfer to United States medical schools. Barring unforeseen changes, the culmination of these events is expected circa 1984 when the number of applicants for first year house office positions will equal or exceed the pool of available slots. Therefore, a significant proportion of graduates either will not be matched at all or will not be matched with the specialty(ies) of their choice. The implications of these trends with respect to residency training in pathology, with particular reference to the motives and motivation of persons seeking a first year slot, are discussed and alternative strategies for maximizing benefits discussed.
在过去几年里，发生了一些不相关的事件，这些事件将对美国病理学住院医师培训产生显著影响。这些因素包括：（1）美国医学院校毕业生的年数量增加了两倍；（2）第94 - 484号公法，这将使有资格在美国接受研究生培训的外国医学毕业生数量减少70%至80%；（3）越来越强调允许在国外学习的美国人转至美国医学院校。除非发生意外变化，预计这些事件的最终结果将在1984年左右出现，届时申请第一年住院医师职位的人数将等于或超过可用职位数。因此，相当一部分毕业生要么根本无法匹配到职位，要么无法匹配到他们所选择的专业。本文讨论了这些趋势对病理学住院医师培训的影响，特别是针对寻求第一年职位的人的动机，并探讨了使收益最大化的替代策略。
