Salive M E, Parkinson M D
General Preventive Medicine Residency Program, Johns Hopkins University School of Hygiene and Public Health, Baltimore, Maryland.
Am J Prev Med. 1991 Nov-Dec;7(6):445-9.
Little is known about those physicians who pursue graduate medical education in preventive medicine, including aerospace medicine, general preventive medicine and public health, and occupational medicine. We surveyed resident physicians about their academic background, financial environment, clinical activities, and professional goals. A total of 147 residents (30%) responded from a population of 498 residents. The data suggest a lack of available information about preventive medicine training and careers among medical students who subsequently pursue such training. Their economic environment is extremely diverse, with a wide range of salary, "moonlighting" hours, educational loans, and service obligations. Although the median annual salary ($24,700) is similar to the national average resident salary, 32% of respondents earned less than $20,000, and 95% have educational debts averaging $30,900. Sixty-two percent of respondents perform clinical work in their residency, whereas 76% desire future clinical work as part of their practice. This gap is most pronounced in general preventive medicine and public health. The residents express a wide range of interests in future practice of preventive medicine; 54% are interested in government work, and 33% desire academic careers.
对于那些从事预防医学研究生医学教育的医生，包括航空航天医学、普通预防医学和公共卫生以及职业医学领域的医生，我们了解甚少。我们对住院医师的学术背景、财务状况、临床活动和职业目标进行了调查。在498名住院医师中，共有147名（30%）做出了回应。数据表明，在随后接受此类培训的医学生中，缺乏关于预防医学培训和职业的可用信息。他们的经济状况极为多样，薪资、“兼职”时长、教育贷款和服务义务各不相同。尽管年薪中位数（24,700美元）与全国住院医师平均薪资相似，但32%的受访者收入低于20,000美元，95%的人平均有30,900美元的教育债务。62%的受访者在住院实习期间从事临床工作，而76%的人希望未来的临床工作成为其执业的一部分。这种差距在普通预防医学和公共卫生领域最为明显。住院医师对预防医学未来的执业表现出广泛的兴趣；54%的人对政府工作感兴趣，33%的人希望从事学术职业。
