发信人: docrockville (docrockville), 信区: MedicalCareer
标 题: 本年match的热门专业和冷门专业
发信站: BBS 未名空间站 (Wed May 13 14:54:36 2009)
Match Rate Up, but With Bad News for Primary Care
Nearly 30,000 applicants participated in the Match, when the majority
discovered the residency training program in which they would spend the next
several years. The good news: Participation was at an all-time high. The
bad news: The number of primary care positions offered declined.
The National Resident Matching Program (NRMP) celebrated the former as
showing the progress in increasing the number of U.S. physicians.
“This is likely the result of medical school expansion across the nation in
anticipation of a future physician shortage,” said Mona M. Signer, NRMP
executive director. “Existing medical schools have increased their class
sizes, and new medical schools are in development.”
The Match, conducted in March, saw increased popularity in certain
specialties among U.S. medical school “seniors”: pediatrics, psychiatry,
radiology and emergency medicine. The program will be watching to see if
those trends continue, she said.
The most competitive specialties this year included dermatology, orthopedic
surgery and neurological surgery. This was the first year that neurological
surgery residencies were handled by the NRMP. There were 191 in the Match
this year, and all positions were filled, Signer said.
But in family medicine, fewer positions were placed in the Match, and the
number of U.S. allopathic seniors who matched declined as well. The number
choosing primary care residencies had been declining for several years and
only saw a modest increase in 2008.
“We saw an uptick in family medicine last year, but unfortunately this year
we saw a decline in interest again,” Signer said.
Relatively low salaries and high medical school debts have been blamed for
residents shying away from primary care. Groups advocating for more family
physicians expressed concern.
“Research has demonstrated unequivocally that the world’s successful
health care systems depend on primary care,” said Dr. Ted Epperly,
president of the American Academy of Family Physicians. “With a ratio of 70
percent subspecialists to 30 percent primary care physicians, the American
health care system is upside down.”
Graduates of U.S. allopathic medical schools comprised 46 percent of the 2,
311 family medicine slots. Also, the number of those slots filled by U.S.
medical seniors dropped by 8 percent, according to the NRMP. Graduates of
osteopathic schools and foreign medical schools filled the remaining
The number of participants included 15,638 from U.S. allopathic medical
schools, 10,874 graduates of international medical schools, and 2,015
students and graduates of osteopathic schools. Previous medical school
graduates, who had not yet matched due to illness, pregnancy and other
reasons, comprised 1,222 applicants.
There were 22,427 first-year residency positions offered and more than 95
percent, 21,340, were filled. The rest were filled in the “Scramble.”
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