Greenberg L W, Getson P, Brasseux C, Pattishall E G, Kataria S, Bartlett G S, Tully S B, Shea D
Children's National Medical Center, Washington, DC 20010.
Am J Dis Child. 1991 Dec;145(12):1389-92. doi: 10.1001/archpedi.1991.02160120057019.
The majority of pediatric residents continue to choose a career in practice on completion of their training. Despite knowing residents' career preferences, many training programs have focused on inpatient tertiary care at the expense of primary care. Perhaps this reflects service needs and the significant technology and extensive information resulting in the growth of pediatric subspecialties. To determine the spectrum of didactic and clinical experiences pediatric training programs offer residents to prepare them for managing a practice, we conducted a survey of pediatric training program directors in 1988. Although the majority of residency programs have a practice management curriculum, the number of hours devoted to this area is minimal. In addition, a significant number of residents are not experiencing a community office rotation. This survey indicates the need to develop a practice management curriculum if trainees are to be prepared for choosing the right career and for being competitive in practice.
大多数儿科住院医师在完成培训后仍会选择从事临床工作。尽管了解住院医师的职业偏好，但许多培训项目仍以牺牲初级保健为代价，专注于住院三级护理。这或许反映了服务需求以及儿科亚专业发展中显著的技术进步和大量信息。为了确定儿科培训项目为住院医师提供了哪些教学和临床经验，以便他们为从事临床工作做好准备，我们在1988年对儿科培训项目主任进行了一项调查。虽然大多数住院医师培训项目都设有实践管理课程，但在这方面投入的时间却很少。此外，相当数量的住院医师没有经历过社区诊所轮转。这项调查表明，如果要让受训人员为选择合适的职业并在临床工作中具有竞争力做好准备，就需要制定实践管理课程。
