Andersen R M, Lyttle C S, Kohrman C H, Levey G S, Clements M M
Department of Health Services, School of Public Health, UCLA 90024-1772.
Ann Intern Med. 1992 Aug 1;117(3):243-50. doi: 10.7326/0003-4819-117-3-243.
The National Study of Internal Medicine Manpower (NaSIMM) reports on the results of its 1989-1990 census of residency programs. The results are integrated into an organizational model identifying inputs, process, outputs, and environment of medical training programs. The number of residents entering internal medicine continues to grow at a relatively rapid pace. This growth is largely accounted for by foreign citizens who are graduates of foreign medical schools (AFMGs). Residents are spending an increasing proportion of their time in ambulatory care settings, but, thus far, this ambulatory care training has occurred primarily in hospital clinics and emergency rooms. The proportion of a program's residents entering general internal medicine was found in a multiple regression analysis to be negatively associated with the number of subspecialty programs located in the training hospital, the percent of AFMG residents in the program, and the presence of a preliminary track in the program.
全国内科人力研究（NaSIMM）报告了其1989 - 1990年住院医师培训项目普查结果。这些结果被整合到一个组织模型中，该模型确定了医学培训项目的投入、过程、产出和环境。进入内科的住院医师数量继续以相对较快的速度增长。这种增长主要是由外国医学院校毕业生（AFMGs）这一外国公民群体造成的。住院医师在门诊护理环境中花费的时间比例越来越大，但到目前为止，这种门诊护理培训主要发生在医院诊所和急诊室。在多元回归分析中发现，一个项目中进入普通内科的住院医师比例与培训医院中专科项目的数量、该项目中AFMG住院医师的百分比以及该项目中是否存在初步培训路径呈负相关。
