National Study of Internal Medicine Manpower. XVIII: Subspecialty fellowships with a special look at hematology and oncology, 1988-1989.

National Study of Internal Medicine Manpower. XVIII: Subspecialty fellowships with a special look at hematology and oncology, 1988-1989.
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全国内科人力资源研究。

DOI:
10.7326/0003-4819-114-1-36
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发表时间:
1991
影响因子:
39.2
通讯作者:
G. Levey
G. Levey
中科院分区:
医学1区
文献类型:
--
作者:
C. Lyttle;R. Andersen;K. Neymarc;C. Schmidt;C. Kohrman;G. Levey

文献摘要

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目的 确定专科培训中内科医生的数量和分布,并与1976年以来收集的数据进行比较;确定专科研究员的活动分布;并重点关注血液学和肿瘤学。 设计 重复的邮件调查和电话随访。 参与者 美国内科专科培训项目的所有负责人。 结果 1988-1989年的普查查明有7 530名研究员在接受培训,比1987-1988年多55名。还有24个第一年的研究员关于亚专业研究员活动的报告显示,总体而言,研究员53%的时间用于直接患者护理,20%用于基础研究,15%用于患者相关研究,12%用于教学。 结论 与前5年相比,在过去5年中,进入专科培训的内科医生人数的增长速度明显放缓。自1976年以来,亚专业培训的时间大幅增加。从血液学到肿瘤学以及提供两个亚专业的联合项目的亚专业选择已经发生了转变。
OBJECTIVE To determine the number and distribution of internists in subspecialty training and compare with data collected since 1976; to determine the distribution of activity of subspecialty fellows; and to focus on hematology and oncology. DESIGN Repeated mail survey with telephone follow-up. PARTICIPANTS All directors of subspecialty training programs in internal medicine in the United States. RESULTS The 1988-1989 census identified 7530 fellows in training, 55 more than in 1987-1988. There are 24 more first-year fellows. Reports on the activities of subspecialty fellows show that, overall, 53% of fellows' time is spent in direct patient care, 20% on basic research, 15% on patient-related research, and 12% in teaching. CONCLUSIONS The number of internists entering subspecialty training has risen at a considerably slower rate in the last 5 years compared with the 5 years before that. The length of subspecialty training has increased significantly since 1976. There has been a shift in subspecialty choice from hematology to oncology and toward joint programs offering both subspecialties.