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A growing trend of females and dermatologists among top medical graduates in 30 years
BACKGROUND: Career outcomes of top medical graduates (TMG) are seldom studied. The Tsungming Tu Foundation (TTF) has awarded the number one graduate from each medical school in Taiwan since 1981. We aimed to study whether TMG differ from all medical graduates (AMG) in gender, specialty, and geograph...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161175/ https://www.ncbi.nlm.nih.gov/pubmed/32295573 http://dx.doi.org/10.1186/s12909-020-02028-1 |
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author | Chang, Yung-Wei Lee, Chih-Hung |
author_facet | Chang, Yung-Wei Lee, Chih-Hung |
author_sort | Chang, Yung-Wei |
collection | PubMed |
description | BACKGROUND: Career outcomes of top medical graduates (TMG) are seldom studied. The Tsungming Tu Foundation (TTF) has awarded the number one graduate from each medical school in Taiwan since 1981. We aimed to study whether TMG differ from all medical graduates (AMG) in gender, specialty, and geographic regions in the last 30 years. METHODS: Overall, 322 TMG and 40,075 AMG were identified from 1981 to 2017 from TTF and Taiwan healthcare public data, respectively. Subjects were further grouped by their graduation year: 1981–1994, 1995–2001, 2002–2011, and after 2012. Ranges were based on implementation dates of new health care policies. RESULTS: The percentages of female AMG increased from 10.9% before 1994 to 32.6% after 2012 (linear trend, P < 0.001). Similarly, the percentages of female TMG increased from 23.1% before 1994 to 42.4% after 2012 (linear trend, P = 0.003). In contrast to 2% of AMG, the percentages of TMG who became dermatologists increased from 11% to 20.5% (linear trend, P = 0.024). TMG favored dermatology, ophthalmology, and neurology, and avoided general surgery (P < 0.001). While still higher than AMG, the percentages of TMG working in medical centers dropped significantly from 58% during 1981–1994 to 33.3% during 1995–2001 (P = 0.035). This coincided with the launch of National Health Insurance in 1995. Finally, though more than half of TMG previously worked in Northern Taiwan, they have recently moved to Central Taiwan. CONCLUSIONS: The percentages of female AMG and TMG reached 32.6% and 42.4%, respectively, after 2012. TMG prefer to choose dermatology, ophthalmology, and neurology, but avoid general surgery. Changes in health policy, reimbursement policy, and medical education may be associated with AMG and TMG career choices. |
format | Online Article Text |
id | pubmed-7161175 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-71611752020-04-22 A growing trend of females and dermatologists among top medical graduates in 30 years Chang, Yung-Wei Lee, Chih-Hung BMC Med Educ Research Article BACKGROUND: Career outcomes of top medical graduates (TMG) are seldom studied. The Tsungming Tu Foundation (TTF) has awarded the number one graduate from each medical school in Taiwan since 1981. We aimed to study whether TMG differ from all medical graduates (AMG) in gender, specialty, and geographic regions in the last 30 years. METHODS: Overall, 322 TMG and 40,075 AMG were identified from 1981 to 2017 from TTF and Taiwan healthcare public data, respectively. Subjects were further grouped by their graduation year: 1981–1994, 1995–2001, 2002–2011, and after 2012. Ranges were based on implementation dates of new health care policies. RESULTS: The percentages of female AMG increased from 10.9% before 1994 to 32.6% after 2012 (linear trend, P < 0.001). Similarly, the percentages of female TMG increased from 23.1% before 1994 to 42.4% after 2012 (linear trend, P = 0.003). In contrast to 2% of AMG, the percentages of TMG who became dermatologists increased from 11% to 20.5% (linear trend, P = 0.024). TMG favored dermatology, ophthalmology, and neurology, and avoided general surgery (P < 0.001). While still higher than AMG, the percentages of TMG working in medical centers dropped significantly from 58% during 1981–1994 to 33.3% during 1995–2001 (P = 0.035). This coincided with the launch of National Health Insurance in 1995. Finally, though more than half of TMG previously worked in Northern Taiwan, they have recently moved to Central Taiwan. CONCLUSIONS: The percentages of female AMG and TMG reached 32.6% and 42.4%, respectively, after 2012. TMG prefer to choose dermatology, ophthalmology, and neurology, but avoid general surgery. Changes in health policy, reimbursement policy, and medical education may be associated with AMG and TMG career choices. BioMed Central 2020-04-15 /pmc/articles/PMC7161175/ /pubmed/32295573 http://dx.doi.org/10.1186/s12909-020-02028-1 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Chang, Yung-Wei Lee, Chih-Hung A growing trend of females and dermatologists among top medical graduates in 30 years |
title | A growing trend of females and dermatologists among top medical graduates in 30 years |
title_full | A growing trend of females and dermatologists among top medical graduates in 30 years |
title_fullStr | A growing trend of females and dermatologists among top medical graduates in 30 years |
title_full_unstemmed | A growing trend of females and dermatologists among top medical graduates in 30 years |
title_short | A growing trend of females and dermatologists among top medical graduates in 30 years |
title_sort | growing trend of females and dermatologists among top medical graduates in 30 years |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161175/ https://www.ncbi.nlm.nih.gov/pubmed/32295573 http://dx.doi.org/10.1186/s12909-020-02028-1 |
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