Navigating the medical physics education and training landscape

Navigating the medical physics education and training landscape
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DOI:
10.1002/acm2.12202
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发表时间:
2017-11-01
影响因子:
2.1
通讯作者:
Burmeister, Jay
Burmeister, Jay
中科院分区:
医学4区
文献类型:
--
作者:
Loughery, Brian;Starkschall, George;Burmeister, Jay

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目的:ABR 2012/2014计划和MedPhys比赛深刻地重塑了教育和培训的格局。这项工作量化了这些变化,并总结了现有的关于教育和培训的报告、调查和统计数据。方法:我们评估来自CAMPEP认证的项目网站、CAMPEP研究生和住院医生项目年度报告以及MedPhys Match和专业博士学位(DMP)的调查数据。结果:从2009-2015年,CAMPEP认证的研究生项目的毕业生人数从210人增加到332人,而CAMPEP认证的住院医生职位从60人增加到134人。我们估计,在CAMPEP认证的研究生项目中,大约60%的毕业生打算进入临床实践,然而,2015年只有36%的毕业生成功获得了住院医生的职位。研究生课程的最高实习比例为70%,而所有课程的中位数仅为22%。从2011到2015年,CAMPEP认证的项目毕业生的总体实习安置比例,博士和硕士毕业生分别约为38%和25%。超过70%的MedPhys Match参与者在赛后调查中认为,面向临床的毕业生数量与可提供的住院医生职位之间的差距是一个重大问题。约32%的受访者表示,事先了解这种情况会改变他们继续医学物理学研究生教育的决定。结论:这些数据显示,住院医师培训职位的数量与对这些职位感兴趣的研究生之间存在很大差距,不同研究生项目的住院医师安置比例也存在很大差异。需要关于医学物理劳动力中当前和预测的供需的全面数据,才能透视这些数字。虽然教育和培训基础设施变化的长期影响尚不清楚,但现有的调查数据表明,这些变化可能会对潜在的进入该行业的人产生负面影响。
Purpose: The education and training landscape has been profoundly reshaped by the ABR 2012/2014 initiative and the MedPhys Match. This work quantifies these changes and summarizes available reports, surveys, and statistics on education and training.Methods: We evaluate data from CAMPEP-accredited program websites, annual CAMPEP graduate and residency program reports, and surveys on the MedPhys Match and Professional Doctorate degree (DMP).Results: From 2009-2015, the number of graduates from CAMPEP-accredited graduate programs rose from 210 to 332, while CAMPEP-accredited residency positions rose from 60 to 134. We estimate that approximately 60% of graduates of CAMPEP-accredited graduate programs intend to enter clinical practice, however, only 36% of graduates were successful in acquiring a residency position in 2015. The maximum residency placement percentage for a graduate program is 70%, while the median for all programs is only 22%. Overall residency placement percentage for CAMPEP-accredited program graduates from 2011 2015 was approximately 38% and 25% for those with a PhD and MS, respectively. The disparity between the number of clinically oriented graduates and available residency positions is perceived as a significant problem by over 70% of MedPhys Match participants responding to a post-match survey. Approximately 32% of these respondents indicated that prior knowledge of this situation would have changed their decision to pursue graduate education in medical physics.Conclusion: These data reveal a substantial disparity between the number of residency training positions and graduate students interested in these positions, and a substantial variability in residency placement percentage across graduate programs. Comprehensive data regarding current and projected supply and demand within the medical physics workforce are needed for perspective on these numbers. While the long-term effects of changes in the education and training infrastructure are still unclear, available survey data suggest that these changes could negatively affect potential entrants to the profession.