Tiemstra Jeffrey D
Fam Med. 2004 Oct;36(9):666-8.
The number of US medical students entering family medicine continues to decline. Despite the increased presence of family physicians on medical school faculty and increased exposure to family medicine during training, students still cite lack of respect and excessive knowledge base to master as reasons for not choosing our specialty. Specific changes must be made to family medicine residency training to make it more attractive to students and more compatible with the realities of practice today. These changes include eliminating maternity care as a requirement, lengthening training to 4 years, and reducing the number of residency slots available. These changes will ensure that graduating family physicians will be better prepared for practice, better qualified to obtain privileges in the hospital and clinic, and more respected by their colleagues and the public.
进入家庭医学领域的美国医学生数量持续下降。尽管医学院校教职员工中家庭医生的数量有所增加,且学生在培训期间接触家庭医学的机会也增多了,但学生们仍将缺乏尊重以及需要掌握的知识基础过多作为不选择我们这个专业的理由。必须对家庭医学住院医师培训做出具体改变,使其对学生更具吸引力,并更符合当今的实际执业情况。这些改变包括取消将产科护理作为一项要求,将培训时长延长至4年,并减少住院医师培训名额。这些改变将确保毕业的家庭医生能为执业做好更充分的准备,更有资格在医院和诊所获得执业特权,并更受同事和公众的尊重。