Bazemore Andrew W, Henein Maurice, Goldenhar Linda M, Szaflarski Magdalena, Lindsell Christopher J, Diller Philip
Robert Graham Center, American Academy of Family Physicians, Washington, DC 20036, USA.
Fam Med. 2007 Apr;39(4):255-60.
While medical students' interest in family medicine declines, and residency programs face recruiting challenges, interest in international health is increasing. We studied the influence of offering an international health track (IHT) on residency recruitment.
We surveyed all graduates between the years 1994--2003 of a family medicine residency program offering an optional IHT (n=90). Descriptive and bivariate analyses characterized and compared the geographic scope and residency selection criteria of IHT participants and nonparticipants.
The response rate was 77%. Compared to nonparticipants in the IHT, residents who participated in the IHT reported coming a significantly greater median distance from their medical school training site (250--499 miles versus 0--99) and from their "home" (500--999 miles versus 100--249) for residency training. Participants reported that the factor most positively influencing their choice of this residency training site over others was the IHT (mean=+2.5, standard deviation [SD]=0.90), outscoring, on average, location, faculty quality, resident quality, and spousal preference. Nonparticipants' choices were influenced most by the traditionally reported selection factors location (mean=+2.37, SD=1.14) and faculty quality (mean=+2.29, SD=0.97).
One program's experience suggests that the presence of international health training opportunities may influence the residency selection choices of family medicine residents. As family medicine moves to reinvent residency education and to recapture student interest, attractive training models that integrate clinical, community, and public health should be evaluated further.
尽管医学生对家庭医学的兴趣有所下降，住院医师培训项目面临招生挑战，但对国际卫生的兴趣却在增加。我们研究了提供国际卫生方向（IHT）对住院医师招生的影响。
我们对1994年至2003年间一个提供可选IHT的家庭医学住院医师培训项目的所有毕业生（n = 90）进行了调查。描述性和双变量分析对IHT参与者和非参与者的地理范围及住院医师选拔标准进行了描述和比较。
回复率为77%。与IHT非参与者相比，参与IHT的住院医师报告称，他们到医学院培训地点（250 - 499英里，而非0 - 99英里）以及到“家乡”（500 - 999英里，而非100 - 249英里）接受住院医师培训的中位距离显著更远。参与者表示，与其他因素相比，对他们选择该住院医师培训地点影响最积极的因素是IHT（均值 = +2.5，标准差[SD] = 0.90），平均得分高于地点、师资质量、住院医师质量和配偶偏好等因素。非参与者的选择受传统报道的选拔因素地点（均值 = +2.37，SD = 1.14）和师资质量（均值 = +2.29，SD = 0.97）影响最大。
一个项目的经验表明，国际卫生培训机会的存在可能会影响家庭医学住院医师的住院医师选拔选择。随着家庭医学着手重塑住院医师教育并重新吸引学生兴趣，应进一步评估整合临床、社区和公共卫生的有吸引力的培训模式。
