Postgraduate training and career choices: an analysis of the National Physicians Survey in Japan
Postgraduate training and career choices: an analysis of the National Physicians Survey in Japan
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DOI：
10.1111/j.1365-2923.2009.03582.x
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发表时间：
2010-03-01
影响因子：
6
通讯作者：
Imamura, Tomoaki
中科院分区：
文献类型：
--
作者：
Koike, Soichi;Ide, Hiroo;Imamura, Tomoaki
目的本研究分析和讨论了2004年研究生临床培训制度改革后，日本年轻医生职业道路的变化，包括他们在不同类型的设施和专业的分布。劳动和福利被用于本study.ResultsAfter引入新的研究生培训体系，2年的临床培训成为强制性的，医生到设施匹配系统引入。从那时起，更多的年轻医生从学术医院迁移到非学术医院。非学术医院的第一年医生人数增加，而学术医院的人数减少。从各专科医生分布来看，医生选择内、外科的减少趋势有所加快。这些结果说明了显着的变化，影响了年轻医生的职业道路，因为新的系统introduced.ConclusionsDesigning和提供理想的研究生临床培训和实现适当的医生分布是重要的政策问题。应建立适当的政策干预机制，确保医生的适当分配，并应注意扩大医生的选择，提高病人的满意度和总体成本效益。
ObjectivesThis study analyses and discusses recent changes in young Japanese doctors' career paths, in terms of their distribution in different types of facilities and specialties, following changes to the postgraduate clinical training system in 2004.MethodsData from the National Survey of Physicians, Dentists and Pharmacists conducted by Japan's Ministry of Health, Labour and Welfare were used for this study.ResultsAfter the introduction of the new postgraduate training system, 2 years of clinical training became mandatory and a doctor-to-facility matching system was introduced. Since then, more young doctors have migrated from academic hospitals to non-academic hospitals. The number of first-year doctors at non-academic hospitals increased, whereas the number at academic hospitals decreased. In terms of the distribution of doctors per specialty, the decreasing tendency of doctors to choose internal medicine and surgery has accelerated. These results illustrate the significant changes that have affected young doctors' career paths since the new system was introduced.ConclusionsDesigning and providing desirable postgraduate clinical training and achieving appropriate doctor distribution are important policy issues. Appropriate policy interventions regarding a mechanism to ensure the appropriate distribution of doctors should be established and attention should be paid to expanding doctors' choices and increasing patient satisfaction and general cost-effectiveness.