Pugno Perry A, McGaha Amy L, Schmittling Gordon T, DeVilbiss Ashley D, Ostergaard Daniel J
Division of Medical Education, American Academy of Family Physicians, Leawood, KS 66211, USA.
Fam Med. 2008 Sep;40(8):563-73.
The results of the 2008 National Resident Matching Program (NRMP) reflect a currently stable level of student interest in family medicine residency training in the United States. Compared with the 2007 Match, 91 more positions (with 65 more US seniors) were filled in family medicine residency programs through the NRMP in 2008, at the same time as 10 fewer (one fewer US senior) in primary care internal medicine, eight fewer positions were filled in pediatrics-primary care (10 fewer US seniors), and 19 fewer (27 fewer US seniors) in internal medicine-pediatrics programs. Multiple forces, including student perspectives of the demands, rewards, and prestige of the specialty, the turbulence and uncertainty of the health care environment, lifestyle issues, and the impact of faculty role models, continue to influence medical student career choices. Thirty-one more positions (20 fewer US seniors) were filled in categorical internal medicine. Thirty more positions (84 fewer US seniors) were filled in categorical pediatrics programs. The 2008 NRMP results suggest that while interest in family medicine experienced a slight increase in the number of students choosing the specialty, interest in other primary care careers continues to decline. With the needs of the nation calling for the roles and services of family physicians, family medicine still matched too few graduates through the 2008 NRMP to meet the nation's needs for primary care physicians.
2008年全国住院医师匹配项目（NRMP）的结果反映出目前美国医学生对家庭医学住院医师培训的兴趣处于稳定水平。与2007年的匹配情况相比，2008年通过NRMP在家庭医学住院医师项目中填补的职位增加了91个（美国高年级学生增加了65名），与此同时，初级保健内科的职位减少了10个（美国高年级学生减少了1名），儿科初级保健的职位减少了8个（美国高年级学生减少了10名），内科 - 儿科项目的职位减少了19个（美国高年级学生减少了27名）。多种因素，包括学生对该专业的需求、回报和声望的看法、医疗保健环境的动荡和不确定性、生活方式问题以及教师榜样的影响，继续影响着医学生的职业选择。分类内科填补的职位增加了31个（美国高年级学生减少了20名）。分类儿科项目填补的职位增加了30个（美国高年级学生减少了84名）。2008年NRMP的结果表明，虽然选择家庭医学专业的学生数量略有增加，但对其他初级保健职业的兴趣仍在持续下降。鉴于国家对家庭医生的角色和服务有需求，通过2008年NRMP匹配到家庭医学专业的毕业生数量仍然过少，无法满足国家对初级保健医生的需求。
