Abstract

GUZMAN-AROCA, Florentina et al. Profile changes of medical postgraduate residents: a 4-year study in a tertiary hospital. FEM (Ed. impresa) [online]. 2014, vol.17, n.3, pp.143-149. ISSN 2014-9840.  https://dx.doi.org/10.4321/S2014-98322014000300004.

Introduction. Recent economic and social changes may result in changes in the profile of our Residents currently admitted to postgraduate medical training (PMT) programs. Therefore, it seemed appropriate to study the current profile of trainees and proportion of residents retraining within our PMT programs to know the extent of these changes. Subjects and methods. We analyzed the demographic, examination score and other trainee data of 226 residents admitted to PMT programs in a tertiary hospital (Hospital Universitario Virgen de la Arrixaca, Murcia) during the 2009-2012 period. The study of retraining was limited to years 2011 and 2012. Results. Among 226 residents, females accounted for 55%, median age was 25 years (interquartile range: 25-28), they more frequently chose a clinical specialty, their median score in the national examination was 2,413 (interquartile range: 1,305-3,425) and there was no change in the proportion of foreign residents during the study. Male gender and the option for a surgical specialty were associated with a better examination score. Retraining accounted for 17.1% of our residents: 9.9% entered the PMT system to carry out a second specialty and 7.2 % after a previously unfinished specialty. Conclusions. The residents' profile in a tertiary hospital has remained unchanged during the last four years apart from a higher proportion of females. A higher score in the PTM examination was associated with male gender and the option for a surgical specialty. The proportion of foreign trainees did not change. The retraining rate among our residents was not negligible and was mostly due to respecialization.

Keywords : Medical education; Postgraduate medical training; Residents; Respecialization; Retraining; Tertiary hospital.

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