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发帖数: 60 | 1 This is from an article in the latest NEJM:
Given enrollment growth, it may soon be impossible for all graduates of U.S.
medical and osteopathic colleges to secure GME slots unless there is a
sizable increase in the number of training positions. Currently, there are
117,604 residency-training posts accredited by the Accreditation Council for
Graduate Medical Education. In the 2013 main residency match, according to
the National Resident Matching Program, 25,463 positions were filled with 17
,119 graduates of U.S. medical schools, 6307 graduates of international
medical schools (2706 U.S. citizens and 3601 non-U.S. citizens), 2019
graduates of colleges of osteopathic medicine, 14 graduates of Canadian
schools, and 4 from Fifth Pathway programs.5 The large cohort of
international medical-school graduates who seek U.S. training positions
every year will be in even greater jeopardy. The absence of health-workforce
planning, a hallmark of the freewheeling U.S. market economy, may come back
to haunt policymakers, particularly when physician shortages become more
apparent as the ACA's coverage expansion takes hold. |
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