Garrett E A, Dietrich A J
Department of Family and Community Medicine, University of Missouri-Columbia School of Medicine 65212.
Acad Med. 1991 Oct;66(10):625-7. doi: 10.1097/00001888-199110000-00021.
Seventy members of the class that entered Dartmouth Medical School in 1984 responded in 1984 and again in 1988 to statements regarding their attitudes towards family medicine, their general criteria for choosing a specialty, and their concerns about lifestyle; also, the students were asked in 1984 to indicate their interest in a career in family medicine and in 1988 to indicate their long-term specialty choices. The students' attitudes towards family medicine were generally positive on entry and became even more positive by their fourth year. Of the 25 students who indicated an initial interest in family medicine, six chose residencies in this field. Because most of the students studied showed strengthening agreement with both (1) the belief that family practitioners are particularly capable of providing comprehensive care and (2) the desire to concentrate on a specialty that would enable them to feel very competent and sure of their work, the authors hypothesize that the students may have feared that their desire for competence and certainty was incompatible with the comprehensiveness of family medicine.
1984年进入达特茅斯医学院的70名学生在1984年以及1988年分别对有关他们对家庭医学的态度、选择专业的一般标准以及对生活方式的关注的陈述做出了回应；此外，这些学生在1984年被要求表明他们对家庭医学职业的兴趣，在1988年被要求表明他们长期的专业选择。学生们对家庭医学的态度在入学时总体上是积极的，到第四年时变得更加积极。在最初表示对家庭医学感兴趣的25名学生中，有6人选择了该领域的住院医师培训。由于大多数参与研究的学生对以下两点的认同都有所增强：（1）认为家庭医生特别有能力提供全面护理的信念；（2）希望专注于一个能让他们对自己的工作感到非常胜任和自信的专业，作者推测，学生们可能担心他们对能力和确定性的渴望与家庭医学的全面性不相容。
