Godkin M, Quirk M
Department of Family and Community Medicine, University of Massachusetts Medical Center, Worcester 01655.
Fam Med. 1991 Sep-Oct;23(7):521-6.
This study identifies factors which influenced a career choice of family practice by students from the class of 1990 in the public medical schools that have graduated the most family physicians in the last decade. One hundred and thirty-nine new graduates who entered family practice residencies in 1990 responded to a questionnaire that determined the importance of curricula, teachers, departmental support, practice characteristics, and personal issues in decision making. Practice characteristics of family practice and the clinical curriculum were found to be the most important influences. Differences among subjects on the basis of their levels of interest in family practice prior to medical school were examined. Educational considerations, related to curricula and teachers, were more important to those students with little or no prior interest, whereas practice characteristics and personal issues were more important to students with high levels of prior interest. Implications for educational planning are discussed.
本研究确定了一些因素，这些因素影响了1990届毕业于过去十年中培养出最多家庭医生的公立医学院校的学生对家庭医学职业的选择。1990年进入家庭医学住院医师培训项目的139名新毕业生对一份问卷做出了回应，该问卷确定了课程、教师、部门支持、执业特点和个人问题在决策中的重要性。研究发现，家庭医学的执业特点和临床课程是最重要的影响因素。研究还考察了受试者在医学院校之前对家庭医学的兴趣水平差异。与课程和教师相关的教育因素，对那些之前兴趣很少或没有兴趣的学生更为重要，而执业特点和个人问题对之前兴趣较高的学生更为重要。本文还讨论了对教育规划的启示。
