A web-based cross-sectional survey of selective medical school admissions for medically underserved areas
10.14442/generalist.38.31
- VernacularTitle:日本の医学部入試地域枠制度の全容並びに問題点と提言─全国大学医学部募集要項横断研究
- Author:
Atsushi Kaku
;
Akira Matsushita
- Publication Type:Journal Article
- Keywords:
selective admission for medically underserved areas;
cross-sectional;
problem;
supererogation
- From:An Official Journal of the Japan Primary Care Association
2015;38(1):31-37
- CountryJapan
- Language:Japanese
-
Abstract:
Introduction : Selective admission for medically underserved areas (Chiiki-Waku) has been increasing, but qualifications vary. We investigated the current state of these selective admissions to gain a better sense of their nature and to elucidate problems.
Methods : A web-based cross-sectional survey was conducted among 77 medical schools that accepted applications for selective admission for medically underserved areas in 2013.
Results : There were a total of 1305 applicants for 148 slots at 62 universities. We observed 86 admissions at national universities, and 90 admissions through recommendation/ admissions office-based entrance exams. Thirty programs placed restrictions on employment after graduation, 84 required accepting scholarships, 8 required joining a specific organization as a condition in the pledge and 83 placed limits on place of origin of the applicant. Only 13 programs had special curricula for education in community medicine.
Conclusion : In some Chiiki-Waku, problems such as restriction on employment, the obligation to accept scholarships, and other inappropriate conditions were noted. Definition of students from rural backgrounds in Japan differs from the WHO guideline definition. Few programs offer special curricula covering community medicine.