Follow-up study of the regional quota system of Japanese medical schools and prefecture scholarship programmes: a study protocol

BMJ Open Volume 6 Issue 4 Page e011165- published_at 2016-04-15
アクセス数 : 692
ダウンロード数 : 80

今月のアクセス数 : 0
今月のダウンロード数 : 0
File
BMJOpen_6_e011165.pdf 1.32 MB 種類 : fulltext
Title ( eng )
Follow-up study of the regional quota system of Japanese medical schools and prefecture scholarship programmes: a study protocol
Creator
Takeuchi Keisuke
Inoue Kazuo
Owaki Tetsuhiro
Iguchi Seitaro
Maeda Takahiro
Source Title
BMJ Open
Volume 6
Issue 4
Start Page e011165
Abstract
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.
Descriptions
This study is funded by the Ministry of Education, Culture, Sports, Science and Technology KAKENHI Grant-in-Aid for Scientific Research (C), grant number (25460803).
Language
eng
Resource Type journal article
Publisher
BMJ Publishing Group
Date of Issued 2016-04-15
Rights
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/
Publish Type Version of Record
Access Rights open access
Source Identifier
[ISSN] 2044-6055
[DOI] 10.1136/ bmjopen-2016-011165
[PMID] 27084288
[DOI] https://doi.org/10.1136/ bmjopen-2016-011165