Results of physician licence examination and scholarship contract compliance by the graduates of regional quotas in Japanese medical schools: a nationwide cross-sectional survey.
Results of physician licence examination and scholarship contract compliance by the graduates of regional quotas in Japanese medical schools: a nationwide cross-sectional survey.
复制标题
DOI：
10.1136/bmjopen-2017-019418
复制
发表时间：
2017-12-22
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;Owaki T;Iguchi S;Inoue K;Kashima S;Tazuma S;Maeda T
为了应对农村地区医生严重短缺的问题，日本政府自2008年以来积极增加了医学院的入学人数，主要是作为一个chikiwaku，入学者填补了地区配额。配额已经扩展到大多数医学院，这些新生在2016年占所有医学院席位的16%。这些新生中的大多数都是靠奖学金进入医学院的，条件是毕业后他们将在家乡县的指定地区行医数年。政府将从2018年开始修订配额和奖学金计划。本研究评估了这些方案的中期成果。2014年至2017年每年对所有都道府县政府和医学院进行横断面调查，以获得医学毕业生的数据。全国范围各都道府县内获得都道府县奖学金的所有定额毕业生和非定额毕业生，以及各医学院内没有获得奖学金的所有定额毕业生。全国医师执照考试通过率和毕业后未买断奖学金合同的毕业生比例。日本大部分都道府县和医学院参与了这项研究（97.8%-100%）。在日本，获得奖学金的医科毕业生通过国家医师执照考试的可能性明显高于其他医科毕业生（分别为97.9%、96.7%、97.4%和94.7% vs 93.9%、94.5%、94.3%和91.8%）。获得奖学金的配额毕业生在毕业后3年内仍保持奖学金合同的比例为92.2%，获得奖学金的非配额毕业生为89.9%。进入大学的学生比同龄人表现出更好的学习成绩。大多数配额毕业生留在合同工队伍中。即将修订的关于配额和奖学金方案的国家政策需要以这一证据为基础。
Responding to the serious shortage of physicians in rural areas, the Japanese government has aggressively increased the number of entrants to medical schools since 2008, mostly as a chiikiwaku, entrants filling a regional quota. The quota has spread to most medical schools, and these entrants occupied 16% of all medical school seats in 2016. Most of these entrants were admitted to medical school with a scholarship with the understanding that after graduation they will practise in designated areas of their home prefectures for several years. The quota and scholarship programmes will be revised by the government starting in 2018. This study evaluates the intermediate outcomes of these programmes. Cross-sectional survey to all prefectural governments and medical schools every year from 2014 to 2017 to obtain data on medical graduates. Nationwide. All quota and non-quota graduates with prefecture scholarship in each prefecture, and all the quota graduates without scholarship in each medical school. Passing rate of the National License Examination for Physicians and the percentage of graduates who have not bought out the scholarship contract after graduation. Most prefectures and medical schools in Japan participated in this study (97.8%–100%). Quota graduates with scholarship were significantly more likely to pass the National License Examination for Physicians than the other medical graduates in Japan at all the years (97.9%, 96.7%, 97.4% and 94.7% vs 93.9%, 94.5%, 94.3% and 91.8%, respectively). The percentage of quota graduates with scholarship who remained in the scholarship contract 3 years after graduation was 92.2% and 89.9% for non-quota graduates with scholarship. Quota entrants showed better academic performance than their peers. Most of the quota graduates remained in the contractual workforce. The imminent revision of the national policy regarding quota and scholarship programmes needs to be based on this evidence.
登录
查看更多内容
影响因子：
2.8
作者：
Baernighausen, Till;Bloom, David E.
通讯作者：
Bloom, David E.
影响因子：
2.9
作者：
Matsumoto M;Takeuchi K;Tanaka J;Tazuma S;Inoue K;Owaki T;Iguchi S;Maeda T
通讯作者：
Maeda T
影响因子：
3.3
作者：
Matsumoto, Masatoshi;Inoue, Kazuo;Kajii, Eiji
通讯作者：
Kajii, Eiji
影响因子：
2.8
作者：
Tanihara, Shinichi;Kobayashi, Yasuki;Kawachi, Ichiro
通讯作者：
Kawachi, Ichiro
影响因子：
4.8
作者：
Toyabe, Shin-ichi
通讯作者：
Toyabe, Shin-ichi