Follow-up study of the regional quota system of Japanese medical schools and prefecture scholarship programmes: a study protocol.
Follow-up study of the regional quota system of Japanese medical schools and prefecture scholarship programmes: a study protocol.
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DOI：
10.1136/bmjopen-2016-011165
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发表时间：
2016-04-15
期刊：
影响因子：
2.9
通讯作者：
Maeda T
中科院分区：
文献类型：
--
作者：
Matsumoto M;Takeuchi K;Tanaka J;Tazuma S;Inoue K;Owaki T;Iguchi S;Maeda T
鉴于医生短缺，特别是在农村地区，日本政府自2008年以来通过增加千分制（地区配额）迅速扩大了医学院学生的数量。配额入学人数现在占所有医学院入学人数的17%。配额入选者通常是当地的高中毕业生，他们获得了县政府的奖学金。作为交换，他们毕业后在该县（包括其农村地区）临时实习。许多县还为非配额学生提供奖学金计划，以换取研究生在县内实习。这项队列研究由日本社区医学教育委员会进行，目的是评估全国配额入学制度和县奖学金计划的结果。研究参与者分为三组：无奖学金名额、有奖学金名额和无奖学金名额。在政府各部和日本医学院协会的支持下，在所有县和医学院的参与下，分析了全国医师执照考试的通过率、奖学金买入率、每个群体的地理分布和专业分布。对自愿参与的参与者进行跟踪，将他们的基线信息与政府两年一次的医师普查数据联系起来。迄今为止的结果表明，尽管医学院担心学术质量，但每组学生的全国医师执照考试通过率都高于所有医学院毕业生。广岛大学流行病学研究伦理委员会和长崎大学生物医学科学研究生院研究伦理委员会批准了这项研究。不会在会议上展示或在期刊上发表任何可单独识别的结果。汇总结果将作为未来政策规划的数据报告给有关的政府部门、协会、县和医学院。
Given the shortage of physicians, particularly in rural areas, the Japanese government has rapidly expanded the number of medical school students by adding chiikiwaku (regional quotas) since 2008. Quota entrants now account for 17% of all medical school entrants. Quota entrants are usually local high school graduates who receive a scholarship from the prefecture government. In exchange, they temporarily practise in that prefecture, including its rural areas, after graduation. Many prefectures also have scholarship programmes for non-quota students in exchange for postgraduate in-prefecture practice. The objective of this cohort study, conducted by the Japanese Council for Community-based Medical Education, is to evaluate the outcomes of the quota admission system and prefecture scholarship programmes nationwide. There are 3 groups of study participants: quota without scholarship, quota with scholarship and non-quota with scholarship. Under the support of government ministries and the Association of Japan Medical Colleges, and participation of all prefectures and medical schools, passing rate of the National Physician License Examination, scholarship buy-out rate, geographic distribution and specialties distribution of each group are analysed. Participants who voluntarily participated are followed by linking their baseline information to data in the government's biennial Physician Census. Results to date have shown that, despite medical schools' concerns about academic quality, the passing rate of the National Physician License Examination in each group was higher than that of all medical school graduates. The Ethics Committee for Epidemiological Research of Hiroshima University and the Research Ethics Committee of Nagasaki University Graduate School of Biomedical Sciences permitted this study. No individually identifiable results will be presented in conferences or published in journals. The aggregated results will be reported to concerned government ministries, associations, prefectures and medical schools as data for future policy planning.