选择家庭医学。是什么影响了医学生？
Choosing family medicine. What influences medical students?
作者信息
Jordan John, Brown Judith Belle, Russell Grant
机构信息
Department of Family Medicine, University of Western Ontario.
出版信息
Can Fam Physician. 2003 Sep;49:1131-7.
OBJECTIVE
To explore factors that influence senior medical students to pursue careers in family medicine.
DESIGN
Qualitative study using semistructured interviews.
SETTING
University of Western Ontario (UWO) in London.
PARTICIPANTS
Eleven of 29 graduating UWO medical students matched to Canadian family medicine residency programs beginning in July 2001.
METHOD
Eleven semistructured interviews were conducted with a maximum variation sample of medical students. Interviews were transcribed and reviewed independently, and a constant comparative approach was used by the team to analyze the data.
MAIN FINDINGS
Family physician mentors were an important influence on participants' decisions to pursue careers in family medicine. Participants followed one of three pathways to selecting family medicine: from an early decision to pursue family medicine, from initial uncertainty about career choice, or from an early decision to specialize and a change of mind.
CONCLUSION
The perception of a wide scope of practice attracts candidates to family medicine. Having more family medicine role models early in medical school might encourage more medical students to select careers in family medicine.
目的
探讨影响高年级医学生从事家庭医学职业的因素。
设计
采用半结构化访谈的定性研究。
地点
伦敦的西安大略大学（UWO）。
参与者
2001年7月开始参加加拿大家庭医学住院医师项目的29名UWO医学院毕业生中的11名。
方法
对医学生的最大差异样本进行了11次半结构化访谈。访谈内容被转录并独立审查，研究团队采用持续比较法分析数据。
主要发现
家庭医生导师对参与者从事家庭医学职业的决定有重要影响。参与者选择家庭医学有三种途径之一：从早期决定从事家庭医学，从最初对职业选择的不确定，或从早期决定专攻并改变主意。
结论
对广泛执业范围的认知吸引了候选人投身家庭医学。在医学院早期有更多家庭医学榜样可能会鼓励更多医学生选择从事家庭医学职业。
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