Graduate medical education during the fourth year of medical school

1991 ◽  
Vol 119 (2) ◽  
pp. 175-177
Author(s):  
Thomas K. Oliver
Keyword(s):  
Medical Education ◽  
Medical School ◽  
Graduate Medical Education ◽  
Graduate Medical

scholarly journals Patterns of Change in ACGME-Accredited Residency Programs and Positions: Implication for the Adequacy of GME Positions and Supply of Physicians in the United States

2014 ◽  
Vol 6 (2) ◽  
pp. 399-403 ◽  
Author(s):  
Kathleen D. Holt ◽  
Rebecca S. Miller ◽  
Ingrid Philibert ◽  
Thomas J. Nasca
Keyword(s):  
Medical Education ◽  
Medical School ◽  
Graduate Medical Education ◽  
Primary Care Physicians ◽  
Population Data ◽  
The United States ◽  
Graduate Medical ◽  
The Past ◽  
Accredited Institutions ◽  
The Impact

Abstract Background Recent studies suggest that the supply of primary care physicians and generalist physicians in other specialties may be inadequate to meet the needs of the US population. Data on the numbers and types of physicians-in-training, such as those collected by the Accreditation Council for Graduate Medical Education (ACGME), can be used to help understand variables affecting this supply. Objective We assessed trends in the number and type of medical school graduates entering accredited residencies, and the impact those trends could have on the future physician workforce. Methods Since 2004, the ACGME has published annually its data on accredited institutions, programs, and residents to help the graduate medical education community understand major trends in residency education, and to help guide graduate medical education policy. We present key results and trends for the period between academic years 2003–2004 and 2012–2013. Results The data show that increases in trainees in accredited programs are not uniform across specialties, or the types of medical school from which trainees graduated. In the past 10 years, the growth in residents entering training that culminates in initial board certification (“pipeline” specialties) was 13.0%, the number of trainees entering subspecialty education increased 39.9%. In the past 5 years, there has been a 25.8% increase in the number of osteopathic physicians entering allopathic programs. Conclusions These trends portend challenges in absorbing the increasing numbers of allopathic and osteopathic graduates, and US international graduates in accredited programs. The increasing trend in subspecialization appears at odds with the current understanding of the need for generalist physicians.

A Historical and Current Analysis for the DPM Acquiring an MD or DO Degree and an Unrestricted Medical License

2012 ◽  
Vol 102 (2) ◽  
pp. 172-176
Author(s):  
Leonard A. Levy
Keyword(s):  
Medical Education ◽  
Medical School ◽  
Graduate Medical Education ◽  
Medical Profession ◽  
Historical Context ◽  
Current Analysis ◽  
Graduate Medical ◽  
The Past ◽  
Medical License

The podiatric medical profession has evolved substantially in the past 80 years. This evolution includes major changes in scope, in the requirements necessary to enter a podiatric medical school, and in the curriculum that must be completed to earn the degree of Doctor of Podiatric Medicine. Entrance requirements to the schools are now identical to the prerequisites for admission to MD and DO institutions, and licensure requires the completion of graduate medical education. Much of the curriculum also is the same as it is in MD and DO schools. In the past decade, discussion focusing on the ability of the DPM to acquire the MD or DO degree has intensified. An analysis is provided using a historical context regarding this potential initiative. (J Am Podiatr Med Assoc 102(2): 172–176, 2012)

scholarly journals Placement of US Medical School Graduates Into Graduate Medical Education, 2005 Through 2015

JAMA ◽  
2015 ◽  
Vol 314 (22) ◽  
pp. 2409 ◽  
Author(s):  
Henry M. Sondheimer ◽  
Imam M. Xierali ◽  
Geoffrey H. Young ◽  
Marc A. Nivet
Keyword(s):  
Medical Education ◽  
Medical School ◽  
Graduate Medical Education ◽  
Graduate Medical

scholarly journals A Longitudinal Study of Commonly Used Admissions Measures and Disenrollment from Medical School and Graduate Medical Education Probation or Termination from Training

2018 ◽  
Vol 183 (11-12) ◽  
pp. e680-e684 ◽  
Author(s):  
Ting Dong ◽  
William R Gilliland ◽  
David Cruess ◽  
Jeffrey Hutchinson ◽  
Lisa Morres ◽  
...  
Keyword(s):  
Medical Education ◽  
Longitudinal Study ◽  
Medical School ◽  
Graduate Medical Education ◽  
Graduate Medical

scholarly journals From Medical School to Residency: Transitions During the COVID-19 Pandemic

2020 ◽  
Vol 12 (4) ◽  
pp. 507-511
Author(s):  
Lauren M. Byrne ◽  
Eric S. Holmboe ◽  
John R. Combes ◽  
Thomas J. Nasca
Keyword(s):  
Medical Education ◽  
Medical School ◽  
Graduate Medical Education ◽  
Medical Schools ◽  
The United States ◽  
Residency Programs ◽  
Graduate Medical ◽  
Time Period ◽  
Policies And Procedures ◽  
Academic Year

ABSTRACT Background The start of a new academic year in graduate medical education will mark a transition for postgraduate year 1 (PGY-1) residents from medical school into residency. The relocation of individuals has significant implications given the COVID-19 pandemic and variability of the outbreak across the United States, but little is known about the extent of the geographic relocation taking place. Objective We reported historical trends of PGY-1 residents staying in-state and those starting residency from out-of-state to quantify the geographic movement of individuals beginning residency training each year. Methods We analyzed historical data collected by the Accreditation Council for Graduate Medical Education in academic years 2016–2017, 2017–2018, and 2018–2019, comparing the locations of medical school and residency programs for PGY-1 residents to determine the number of matriculants from in-state medical schools and out-of-state medical schools. International medical school graduates (IMGs) were shown separately in the analysis and then combined with out-of-state matriculants. US citizens who trained abroad were counted among IMGs. Results The total number of PGY-1s increased by 10.3% during the 3-year time period, from 29 338 to 32 348. When combined, IMGs and USMGs transitioning from one state or country to another state accounted for approximately 72% of PGY-1s each year. Approximately 63% of USMGs matriculated to a residency program in a new state, and IMGs made up 24.6% to 23.1% of PGY-1s over the 3-year period. Conclusions Each year brings a substantial amount of movement among PGY-1s that highlights the need for policies and procedures specific to the COVID-19 pandemic.

scholarly journals Tracking Residents Through Multiple Residency Programs: A Different Approach for Measuring Residents' Rates of Continuing Graduate Medical Education in ACGME-Accredited Programs

2010 ◽  
Vol 2 (4) ◽  
pp. 616-623 ◽  
Author(s):  
Lauren M. Byrne ◽  
Kathleen D. Holt ◽  
Thomas Richter ◽  
Rebecca S. Miller ◽  
Thomas J. Nasca
Keyword(s):  
Medical Education ◽  
Medical School ◽  
Graduate Medical Education ◽  
Clinical Education ◽  
The United States ◽  
International Medical ◽  
International Medical Graduates ◽  
Graduate Medical ◽  
Medical Graduates ◽  
Longitudinal Tracking

Abstract Background Increased focus on the number and type of physicians delivering health care in the United States necessitates a better understanding of changes in graduate medical education (GME). Data collected by the Accreditation Council for Graduate Medical Education (ACGME) allow longitudinal tracking of residents, revealing the number and type of residents who continue GME following completion of an initial residency. We examined trends in the percent of graduates pursuing additional clinical education following graduation from ACGME-accredited pipeline specialty programs (specialties leading to initial board certification). Methods Using data collected annually by the ACGME, we tracked residents graduating from ACGME-accredited pipeline specialty programs between academic year (AY) 2002–2003 and AY 2006–2007 and those pursuing additional ACGME-accredited training within 2 years. We examined changes in the number of graduates and the percent of graduates continuing GME by specialty, by type of medical school, and overall. Results The number of pipeline specialty graduates increased by 1171 (5.3%) between AY 2002–2003 and AY 2006–2007. During the same period, the number of graduates pursuing additional GME increased by 1059 (16.7%). The overall rate of continuing GME increased each year, from 28.5% (6331/22229) in AY 2002–2003 to 31.6% (7390/23400) in AY 2006–2007. Rates differed by specialty and for US medical school graduates (26.4% [3896/14752] in AY 2002–2003 to 31.6% [4718/14941] in AY 2006–2007) versus international medical graduates (35.2% [2118/6023] to 33.8% [2246/6647]). Conclusion The number of graduates and the rate of continuing GME increased from AY 2002–2003 to AY 2006–2007. Our findings show a recent increase in the rate of continued training for US medical school graduates compared to international medical graduates. Our results differ from previously reported rates of subspecialization in the literature. Tracking individual residents through residency and fellowship programs provides a better understanding of residents' pathways to practice.

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