Career development of targeted admission medical students:A seven-year follow-up analysis based on four medical colleges
10.3969/j.issn.1674-2982.2024.01.006
- VernacularTitle:订单定向医学生的职业发展:基于四所医学院校的七年跟踪分析
- Author:
Hao-Qing TANG
1
,
2
;
Hui-Xian ZHENG
;
Bai-Song ZHANG
;
Ming-Yue LI
;
Xiao-Yun LIU
Author Information
1. 北京大学公共卫生学院 北京 100191
2. 北京大学中国卫生发展研究中心 北京 100191
- Keywords:
General practitioners;
Targeted admission program;
Career development;
Promotion;
Income;
Retention
- From:
Chinese Journal of Health Policy
2024;17(1):43-50
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Utilizing a seven-year panel data set of a targeted admission medical student cohort,this study aims to examine their career development and provide insights for retaining healthcare talent in township health centers and village clinics in the central and western rural areas of China.Method:Starting from 2015,cohorts of targeted and general clinical graduates from four medical colleges in central and western China were selected and tracked for their career progression.Results:The targeted graduates'standardized residency training and medical licensing examination pass rates were similar to those of general clinical graduates.They advanced more quickly in professional titles and positions,with 82.5%becoming attending physicians and 16.2%obtaining positions in the seventh year after graduation.However,their monthly income was significantly lower than that of general clinical graduates,and this income discrepancy expanded annually.As of December 2022,among the 493 targeted graduates who completed their contracts,38.5%stayed in grassroots positions.Of those who left,60%moved to county-level or higher public hospitals,7.9%pursued further studies,and 27.7%were unemployed.Conclusion:Targeted graduates are well-trained and advance rapidly in their careers,but their lower income significantly impacts their willingness to remain at the grassroots level.After completing their service period,about one-third of the targeted graduates choose to stay in grassroots positions.
