Fahey P J, Sachs L A, Bauer L C
Department of Family Medicine, Ohio State University College of Medicine, Columbus 43210.
Acad Med. 1992 Oct;67(10):680-4. doi: 10.1097/00001888-199210000-00013.
In light of the major concern about the marked decline in the numbers of graduates from U.S. medical schools who are entering family medicine, the authors analyzed the effect of declining class size on the numbers of graduates entering family medicine residencies. Data were analyzed from ten years of graduating classes (1981-1990) from the 81 medical schools graduating the most family physicians. The analysis confirmed that declining class size is related to the decline in the production of family physicians. In particular, the 31 schools with the largest declines in the numbers of graduates overall (from the early 1980s compared with the late 1980s and 1990) demonstrated as a group a large fall (nearly 25%) in the production of family physicians. The authors conclude that the large reductions in class size in many medical schools are associated with even larger reductions in the numbers of future family physicians being graduated from U.S. medical schools.
鉴于人们对美国医学院进入家庭医学专业的毕业生数量显著下降这一主要问题的高度关注，作者分析了班级规模缩小对进入家庭医学住院医师培训项目的毕业生数量的影响。对81所培养家庭医生数量最多的医学院校十年（1981 - 1990年）的毕业班数据进行了分析。分析证实班级规模缩小与家庭医生培养数量的下降有关。特别是，总体毕业生数量下降幅度最大的31所学校（与20世纪80年代初相比，80年代末和90年代）作为一个群体，家庭医生的培养数量大幅下降（近25%）。作者得出结论，许多医学院校班级规模的大幅缩减与美国医学院未来家庭医生毕业生数量的更大幅度减少有关。
