Cargando…
Follow-up study of the regional quota system of Japanese medical schools and prefecture scholarship programmes: a study protocol
INTRODUCTION: Given the shortage of physicians, particularly in rural areas, the Japanese government has rapidly expanded the number of medical school students by adding chiikiwaku (regional quotas) since 2008. Quota entrants now account for 17% of all medical school entrants. Quota entrants are usu...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4838685/ https://www.ncbi.nlm.nih.gov/pubmed/27084288 http://dx.doi.org/10.1136/bmjopen-2016-011165 |
_version_ | 1782428010361651200 |
---|---|
author | Matsumoto, Masatoshi Takeuchi, Keisuke Tanaka, Junko Tazuma, Susumu Inoue, Kazuo Owaki, Tetsuhiro Iguchi, Seitaro Maeda, Takahiro |
author_facet | Matsumoto, Masatoshi Takeuchi, Keisuke Tanaka, Junko Tazuma, Susumu Inoue, Kazuo Owaki, Tetsuhiro Iguchi, Seitaro Maeda, Takahiro |
author_sort | Matsumoto, Masatoshi |
collection | PubMed |
description | INTRODUCTION: Given the shortage of physicians, particularly in rural areas, the Japanese government has rapidly expanded the number of medical school students by adding chiikiwaku (regional quotas) since 2008. Quota entrants now account for 17% of all medical school entrants. Quota entrants are usually local high school graduates who receive a scholarship from the prefecture government. In exchange, they temporarily practise in that prefecture, including its rural areas, after graduation. Many prefectures also have scholarship programmes for non-quota students in exchange for postgraduate in-prefecture practice. The objective of this cohort study, conducted by the Japanese Council for Community-based Medical Education, is to evaluate the outcomes of the quota admission system and prefecture scholarship programmes nationwide. METHODS AND ANALYSIS: There are 3 groups of study participants: quota without scholarship, quota with scholarship and non-quota with scholarship. Under the support of government ministries and the Association of Japan Medical Colleges, and participation of all prefectures and medical schools, passing rate of the National Physician License Examination, scholarship buy-out rate, geographic distribution and specialties distribution of each group are analysed. Participants who voluntarily participated are followed by linking their baseline information to data in the government's biennial Physician Census. Results to date have shown that, despite medical schools' concerns about academic quality, the passing rate of the National Physician License Examination in each group was higher than that of all medical school graduates. ETHICS AND DISSEMINATION: The Ethics Committee for Epidemiological Research of Hiroshima University and the Research Ethics Committee of Nagasaki University Graduate School of Biomedical Sciences permitted this study. No individually identifiable results will be presented in conferences or published in journals. The aggregated results will be reported to concerned government ministries, associations, prefectures and medical schools as data for future policy planning. |
format | Online Article Text |
id | pubmed-4838685 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-48386852016-04-22 Follow-up study of the regional quota system of Japanese medical schools and prefecture scholarship programmes: a study protocol Matsumoto, Masatoshi Takeuchi, Keisuke Tanaka, Junko Tazuma, Susumu Inoue, Kazuo Owaki, Tetsuhiro Iguchi, Seitaro Maeda, Takahiro BMJ Open Health Policy INTRODUCTION: Given the shortage of physicians, particularly in rural areas, the Japanese government has rapidly expanded the number of medical school students by adding chiikiwaku (regional quotas) since 2008. Quota entrants now account for 17% of all medical school entrants. Quota entrants are usually local high school graduates who receive a scholarship from the prefecture government. In exchange, they temporarily practise in that prefecture, including its rural areas, after graduation. Many prefectures also have scholarship programmes for non-quota students in exchange for postgraduate in-prefecture practice. The objective of this cohort study, conducted by the Japanese Council for Community-based Medical Education, is to evaluate the outcomes of the quota admission system and prefecture scholarship programmes nationwide. METHODS AND ANALYSIS: There are 3 groups of study participants: quota without scholarship, quota with scholarship and non-quota with scholarship. Under the support of government ministries and the Association of Japan Medical Colleges, and participation of all prefectures and medical schools, passing rate of the National Physician License Examination, scholarship buy-out rate, geographic distribution and specialties distribution of each group are analysed. Participants who voluntarily participated are followed by linking their baseline information to data in the government's biennial Physician Census. Results to date have shown that, despite medical schools' concerns about academic quality, the passing rate of the National Physician License Examination in each group was higher than that of all medical school graduates. ETHICS AND DISSEMINATION: The Ethics Committee for Epidemiological Research of Hiroshima University and the Research Ethics Committee of Nagasaki University Graduate School of Biomedical Sciences permitted this study. No individually identifiable results will be presented in conferences or published in journals. The aggregated results will be reported to concerned government ministries, associations, prefectures and medical schools as data for future policy planning. BMJ Publishing Group 2016-04-15 /pmc/articles/PMC4838685/ /pubmed/27084288 http://dx.doi.org/10.1136/bmjopen-2016-011165 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Health Policy Matsumoto, Masatoshi Takeuchi, Keisuke Tanaka, Junko Tazuma, Susumu Inoue, Kazuo Owaki, Tetsuhiro Iguchi, Seitaro Maeda, Takahiro Follow-up study of the regional quota system of Japanese medical schools and prefecture scholarship programmes: a study protocol |
title | Follow-up study of the regional quota system of Japanese medical schools and prefecture scholarship programmes: a study protocol |
title_full | Follow-up study of the regional quota system of Japanese medical schools and prefecture scholarship programmes: a study protocol |
title_fullStr | Follow-up study of the regional quota system of Japanese medical schools and prefecture scholarship programmes: a study protocol |
title_full_unstemmed | Follow-up study of the regional quota system of Japanese medical schools and prefecture scholarship programmes: a study protocol |
title_short | Follow-up study of the regional quota system of Japanese medical schools and prefecture scholarship programmes: a study protocol |
title_sort | follow-up study of the regional quota system of japanese medical schools and prefecture scholarship programmes: a study protocol |
topic | Health Policy |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4838685/ https://www.ncbi.nlm.nih.gov/pubmed/27084288 http://dx.doi.org/10.1136/bmjopen-2016-011165 |
work_keys_str_mv | AT matsumotomasatoshi followupstudyoftheregionalquotasystemofjapanesemedicalschoolsandprefecturescholarshipprogrammesastudyprotocol AT takeuchikeisuke followupstudyoftheregionalquotasystemofjapanesemedicalschoolsandprefecturescholarshipprogrammesastudyprotocol AT tanakajunko followupstudyoftheregionalquotasystemofjapanesemedicalschoolsandprefecturescholarshipprogrammesastudyprotocol AT tazumasusumu followupstudyoftheregionalquotasystemofjapanesemedicalschoolsandprefecturescholarshipprogrammesastudyprotocol AT inouekazuo followupstudyoftheregionalquotasystemofjapanesemedicalschoolsandprefecturescholarshipprogrammesastudyprotocol AT owakitetsuhiro followupstudyoftheregionalquotasystemofjapanesemedicalschoolsandprefecturescholarshipprogrammesastudyprotocol AT iguchiseitaro followupstudyoftheregionalquotasystemofjapanesemedicalschoolsandprefecturescholarshipprogrammesastudyprotocol AT maedatakahiro followupstudyoftheregionalquotasystemofjapanesemedicalschoolsandprefecturescholarshipprogrammesastudyprotocol |