Reading R, Surridge H, Steel S, Sansome A
School of Medicine, Health Policy and Practice, University of East Anglia, Norwich.
Child Care Health Dev. 2002 Jul;28(4):289-94. doi: 10.1046/j.1365-2214.2002.00281.x.
There is currently a crisis in the recruitment of trainees into community paediatrics. Focus groups were conducted to explore the views of paediatric specialist registrars about this crisis.
A total of 18 registrars participated in two focus groups. Data were analysed qualitatively by content analysis.
The overriding theme was the poor status and image of community compared with acute paediatrics. This existed at five levels, which could be arranged from a 'macro' structural level down to a 'micro' individual level. These were: the hospital/community divide, issues related to training, practical experience, the influence of role models, and personal factors.
We identified several specific implications for community paediatric training. However, the deep divide between acute and community paediatrics, as perceived by registrars, is unlikely to change unless training programmes are designed to produce paediatricians suited to the needs of future child health services rather than existing models of acute and community paediatricians.
目前社区儿科学实习生招募面临危机。开展焦点小组访谈以探究儿科专科住院医师对这一危机的看法。
共有18名住院医师参与了两个焦点小组。通过内容分析法对数据进行定性分析。
首要主题是相较于急症儿科，社区儿科的地位低下且形象不佳。这在五个层面存在，可从“宏观”结构层面到“微观”个人层面进行排列。这些层面包括：医院/社区差异、与培训相关的问题、实践经验、榜样的影响以及个人因素。
我们确定了社区儿科培训的若干具体影响因素。然而，住院医师所感知到的急症儿科与社区儿科之间的深刻差异不太可能改变，除非培训项目旨在培养适合未来儿童健康服务需求的儿科医生，而非现有的急症和社区儿科医生模式。
