Residency hospital type and career paths in Japan: An analysis of physician registration cohorts
Residency hospital type and career paths in Japan: An analysis of physician registration cohorts
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DOI：
10.3109/01421591003695311
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发表时间：
2010-01-01
期刊：
影响因子：
4.7
通讯作者：
Imamura, Tomoaki
中科院分区：
文献类型：
--
作者：
Koike, Soichi;Kodama, Tomoko;Imamura, Tomoaki
背景资料：2004年，日本引入了新的研究生医学培养体系，并发生了从大学医院到其他研究生教育医院的新毕业生转移。目的：本研究的目的是分析研究生医学教育选择和随后的职业选择的过去趋势，以讨论当前转移的可能结果和政策含义。分析了1976年至2006年全国医生调查的数据。计算了大学医院从业医师的比例变化。不同的居住类型的医生的职业道路presented.Results：超过90%的医生经历了大学医院的工作至少一次在他们的20年的职业生涯。在他们职业生涯的前10年，在大学医院开始实习的医生倾向于在大学医院工作更多年，而那些在其他研究生培训医院开始实习的医生倾向于在大学医院工作更少年。然后，这些群体提出了相当相似的模式，在他们的careerchoice.Conclusions：大学医院需要加强他们的功能，继续教育和职业发展中心，并采取少家长式的做法，因为越来越少的居民开始他们的职业生涯在大学医院。
Background: In 2004, a new postgraduate medical training system was introduced in Japan and a shift of new graduates from university hospitals to other postgraduate education hospitals happened.Aim: The aim of this study is to analyse the past trends on postgraduate medical education choices and subsequent career options to discuss possible outcomes of the current shift and policy implications.Methods: Data from the national physician survey from 1976 to 2006 were analysed. The proportion change of physicians started their career in university hospitals was calculated. The career paths for physicians by different residency type were presented.Results: More than 90% of physicians experienced university hospital work at least once in their 20-year careers. In their first 10 years of their career, physicians who started their residency in a university hospital tended to spend more years working in university hospitals, and those who started in other post-graduate training hospitals tended to spend less in university hospitals. Then, these groups presented quite similar patterns in their career choices.Conclusions: University hospitals need to strengthen their function as continuing education and career development centres and to adopt a less paternalistic approach, as fewer residents start their career in university hospitals.