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Biomedical subjects

J S Graettinger

Publications and source records attributed to J S Graettinger.

At least 19 recordsLinked to original sources

Internal medicine in the National Resident Matching Program 1987: the ides of March.

The number and percentage of graduating seniors from medical schools in the United States who have matched to categorical programs in internal medicine in the National Resident Matching Program have decreased since 1985. Examination of the balance between undergraduate and graduate medical education in the 127 networks of each medical school in the United States and its associated hospitals showed major differences in the retention and recruitment of graduates. The service needs of hospitals rather than the number of graduates from schools in the United States would seem to have controlled the number of positions. Because the positions exceeding the number of graduates from the United States are filled by graduates of foreign schools, these positions are of major importance in determining the supply of internists. The clerkship programs must be restructured to provide students an improved introduction to internal medicine, and the number of entering positions in residencies must be reduced by the substitution of other personnel to do some of the service functions now done by residents.

Accreditation↗

Medical students trained abroad and medical manpower. Recent trends and predictions.

Physicians trained in foreign medical schools, including U.S. citizens, are once again playing a larger part in the provision of medical are in this country. After a decrease in the numbers of such physicians from 1977 through 1980, the number of foreign nationals entering the National Resident Matching Program increased by 312 per cent, and the number of U.S. citizens from foreign schools increased by 273 per cent. U.S. graduates of foreign medical schools participating in Fifth Pathway programs appear to benefit from their extra year of clinical training by being more successful in the National Resident Matching Program and having a higher pass rate on state licensing examinations. These increases in physicians trained in foreign medical schools, together with an increasing number of students graduating from U.S. medical schools, have resulted in an insufficient total number of first-year postgraduate positions, regardless of the specialty, to accommodate all physicians seeking a first-year residency. Since the number of residency positions will probably not expand to meet applicant demand, an increase in the pool of physicians with neither residency training nor licenses to practice medicine is likely. Alien foreign medical-school graduates and U.S. students who go abroad to study medicine can no longer take for granted residency training and practice in the United Stages.

Educational Measurement↗

Balance in medical education networks.

Most graduates of U.S. medical schools will spend the number of years of residency training necessary for certification in a specialty. Essentially all of this graduate training, as well as undergraduate clinical medical education, is occurring in hospitals associated with the medical schools. The study reported here was undertaken to define the 112 medical education networks that offered 16,574 first-year residency positions in 1977; each consisted of a medical school and its associated hospitals. The balance between the numbers and sources of U.S. graduates who entered positions in each specialty for the first graduate year in the hospitals of each network and the kinds and locations of the residencies obtained by the graduates from each school was ascertained. These compilations were also made for each state. Marked differences were found among networks, states, and regions. The balance concept can facilitate the self-assessment by each state and network of its educational and manpower missions.

Education, Medical, Graduate↗

A tracking study of U. S. medical school graduates from the first to the second postdoctoral year.

The types of activities of U.S. medical school graduates of 1977 in their second postdoctoral year have been determined. Ninety-five percent entered a second year of residency training. Three-quarters of them remained in the same program for both years, and an additional 10 percent remained in the same medical-school-teaching hospital network. Only four percent would appear to have been uncertain as to choice of specialty as senior students. Increased interdepartmental cooperation between directors of programs in internal medicine and general surgery and those in the advanced specialties could decrease the residual discontinuity between the first and second graduate years. The National Resident Matching Program is prepared to modify its program to facilitate residency matching. Tracking of graduates provides a more nearly accurate method of predicting physician output than enumeration of first-year residents.

Career Choice↗