Glauser S J, Maynard C D
Department of Radiology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27157-1088, USA.
Acad Radiol. 1994 Oct;1(2):159-63. doi: 10.1016/s1076-6332(05)80836-0.
We surveyed radiology training programs to determine current requirements for a clinical internship year, recent changes in the clinical internship requirement, current number of residents, percentage of residents with preradiology clinical experience, number of current first-year fellows, and percentage of residents entering fellowships.
Survey forms were sent to all 208 U.S. diagnostic radiology programs and were followed up by telephone and facsimile transmission.
Survey response rate was 100%. One hundred programs (48%) require an internship, whereas 108 programs (52%) do not. Of programs without a clinical internship requirement, 33 (31%) have eliminated this requirement within the last 5 years. The clinical year requirement varied greatly by region. A total of 3983 residents are training at present, and 29% did not complete a clinical internship. Currently, 650 fellows are in training. Approximately 68% of graduating residents are entering fellowships.
Many residency programs have recently discontinued the clinical internship year requirement. Changes in Medicare reimbursement of resident salaries may be one factor promoting this change. During the past 4 years, the number of radiology residents training per year has increased. The percentage of residents entering radiology without an internship year has increased by 6% during the past 4 years. An increasing number of graduating residents are entering fellowships.
我们对放射学培训项目进行了调查，以确定临床实习年的当前要求、临床实习要求的近期变化、当前住院医师人数、有放射学前临床经验的住院医师百分比、当前第一年研究员人数以及进入研究员项目的住院医师百分比。
向所有208个美国诊断放射学项目发送了调查问卷，并通过电话和传真进行跟进。
调查回复率为100%。100个项目（48%）要求实习，而108个项目（52%）不要求。在没有临床实习要求的项目中，33个（31%）在过去5年内取消了该要求。临床年要求因地区而异。目前共有3983名住院医师正在接受培训，29%的人没有完成临床实习。目前有650名研究员正在接受培训。大约68%的即将毕业的住院医师正在进入研究员项目。
许多住院医师项目最近取消了临床实习年的要求。医疗保险对住院医师工资报销的变化可能是推动这一变化的一个因素。在过去4年中，每年接受培训的放射学住院医师人数有所增加。在过去4年中，没有实习年就进入放射学领域的住院医师百分比增加了6%。越来越多即将毕业的住院医师正在进入研究员项目。
