We surveyed directors of medical technology (MT) and postdoctoral clinical chemistry (CC) training programs and of clinical pathology (CP) and combined anatomic/clinical pathology (AP/CP) residency programs regarding the number, quality, training emphasis, and job-placement experience of trainees for 1985-95 as well as the directors'opinions on the impact of « healthcare reform. » Responses were received from directors of 94 of 249 (38%) MT programs, 14 of 15 (93%) CC programs, and 63 of 138 (46%) pathology residency programs.
In all four categories the numbers of trainees have increased steadily over the last 5 to 7 years but are expected to remain stable or decrease slightly.
Directors of MT and CC programs expect increasing difficulty placing their graduates ; directors of AP/CP and CP residency programs do not.
Although>60% of MT graduates have entered private hospitals, this is anticipated to decrease, with a concomitant increase in university hospital placements.
Of the AP/CP residents,>60% and<5% accepted service-and research-oriented positions, respectively.
In contrast, 83% of CP residents entered university hospitals, with half of these taking research-oriented positions.
Among CC graduates, 41% joined university hospitals and 10-15% accepted positions in each of either private hospitals or industry or reference laboratories.
The emphasis of training varies, with clinical service and pathophysiology the major focus in AP/CP programs.
Mots-clés Pascal : Biologie clinique, Personnel laboratoire, Chimie clinique, Anatomopathologie, Formation professionnelle, Carrière professionnelle, Etats Unis, Homme, Réforme, Interne(étudiant), Amérique du Nord, Amérique
Mots-clés Pascal anglais : Clinical biology, Laboratory staff, Clinical chemistry, Pathology, Occupational training, Career, United States, Human, Resident, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0360165
Code Inist : 002B30A09. Création : 01/03/1996.