Mesh : Male Humans United States Internship and Residency Training Support Students Educational Status Medicine

来  源:   DOI:10.1097/JTE.0000000000000279

Abstract:
BACKGROUND: All Doctor of Physical Therapy (DPT) programs in the United States prepare students to demonstrate entry-level clinical performance upon graduation. Clinical residency programs are an option for DPT graduates seeking to specialize in a practice area.
METHODS: There is little research published on why DPT graduates decide to pursue residency education (RE) or not. This study aimed to determine factors influencing a Physical Therapist\'s (PT) decision-making process in choosing to pursue a postgraduate residency.
METHODS: PTs within 3 years of graduation and third-year DPT program students were surveyed. Most respondents were from DPT programs in the northeastern United States.
METHODS: A survey was created, piloted, and disseminated to various DPT programs. The survey asked participants their perceptions of motivating factors or barriers to pursuing a RE using multiple choice questions and Likert items. Descriptive statistics and frequencies were reported. One-way analysis of variances, chi-square analysis, and unpaired t tests were used.
RESULTS: Students who considered residency in their second year are 26.5× more likely to apply for a residency (P < .001). Participants strongly agreed with the statements that residency will increase confidence when practicing in their specialty area (1.39 ± 0.48), expand their knowledge as clinicians (1.39 ± 0.051), and expedite proficient practice (1.72 ± 0.057). Participants considered student burnout, the cost of residency, student loan debt, and geographical relocation as the top barriers to pursuing residency. Men were significantly more confident in their ability to apply to residency (F = 8.219, P = .005). Married individuals perceived loans or financial obligations (F = 3.607, P = .029), family obligations (F = 17.170, P < .001), and geographical limitations (F = 3.825, P = .024) as barriers more than single individuals.
CONCLUSIONS: There are many variables DPT students and recent graduates consider when deciding whether to pursue RE. RPs and entry-level DPT programs should consider these factors to promote increased participation in postprofessional RE.
摘要:
背景:在美国物理治疗(DPT)计划的所有医生准备学生在毕业后展示入门级的临床表现。临床实习计划是寻求专注于实践领域的DPT毕业生的一种选择。
方法:关于DPT毕业生为什么决定接受住院医师教育(RE)的研究很少。本研究旨在确定影响物理治疗师(PT)选择攻读研究生居留权的决策过程的因素。
方法:对毕业3年内的PT和第三年的DPT课程学生进行了调查。大多数受访者来自美国东北部的DPT计划。
方法:创建了一项调查,试点,并传播到各种DPT计划。调查使用多项选择题和李克特项目,询问参与者对追求RE的动机因素或障碍的看法。报告了描述性统计数据和频率。方差的单向分析,卡方分析,并使用非配对t检验。
结果:在第二年考虑居留的学生申请居留的可能性为26.5倍(P<.001)。参与者强烈同意这样的说法,即在他们的专业领域(1.39±0.48)进行实践时,居住将增加信心,扩大他们作为临床医生的知识(1.39±0.051),并加快熟练实践(1.72±0.057)。参与者认为学生倦怠,居住的费用,学生贷款债务,和地理搬迁是追求居住权的最大障碍。男性对自己申请居住权的能力更有信心(F=8.219,P=0.005)。已婚个人认为有贷款或财务义务(F=3.607,P=0.029),家庭义务(F=17.170,P<.001),和地理限制(F=3.825,P=0.024)作为障碍比单个个体更多。
结论:DPT学生和应届毕业生在决定是否继续学习时,会考虑许多变量。RP和入门级DPT计划应考虑这些因素,以促进增加对职业后RE的参与。
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