Xu G, Hojat M, Brigham T P, Robeson M R, Veloski J J
Jefferson Medical College, Thomas Jefferson University.
Eval Health Prof. 1994 Dec;17(4):436-45. doi: 10.1177/016327879401700405.
The purpose of the present study is to address the issue of physicians' concerns in practice and their perception of a medical school's curriculum with an emphasis on comparisons between primary and nonprimary care physicians. The sample consisted of 663 physicians who graduated from Jefferson Medical College (JMC) between 1982 and 1986, and also responded to a mailed questionnaire. Comparisons were made between physicians in primary care (n=234) and in nonprimary care (n=429) specialties on their responses regarding concerns in medical practice and evaluation of the medical school curriculum. Primary care physicians were more concerned about the time for their professional development whereas nonprimary care physicians were more concerned about an oversupply of physicians in their specialties, prospective hospital payment, and malpractice litigation. Regardless of the specialties, the physicians overall seemed very concerned about their personal time. Interpersonal skills were regarded by all respondents as an important aspect of the medical school's curriculum. The importance of psychological, social, and cultural factors in the curriculum was strongly supported by these physicians' responses, particularly among primary care and women physicians.
本研究的目的是解决医生在实践中的担忧问题以及他们对医学院课程的看法，重点是比较初级保健医生和非初级保健医生。样本包括1982年至1986年间毕业于杰斐逊医学院（JMC）且回复了邮寄问卷的663名医生。对初级保健（n = 234）和非初级保健（n = 429）专业的医生在医疗实践中的担忧以及医学院课程评估方面的回答进行了比较。初级保健医生更关注他们职业发展的时间，而非初级保健医生更担心其专业领域医生供应过剩、预期的医院支付以及医疗事故诉讼。无论专业如何，医生总体上似乎都非常关注他们的个人时间。所有受访者都认为人际技能是医学院课程的一个重要方面。这些医生的回答强烈支持了课程中心理、社会和文化因素的重要性，特别是在初级保健医生和女性医生中。
