Kelly M H, Murray T S
Department of General Practice, University of Glasgow.
Health Bull (Edinb). 1991 Jul;49(4):259-65.
A survey of 12,425 trainee consultations is reported. Chronic illness only constituted 19.4% of their workload. The greatest number of consultations occurred with younger patients in the 20-30 age group. Only a small proportion of consultations involved anticipatory care and health education (0.3% and 1.1% of total workload respectively). Women patients showed a strong preference to consult a female doctor with twice as many seeing a lady trainee in preference to a male doctor. The study has implications for teaching and learning during the trainee year in general practice.
报告了一项对12425次实习医生会诊的调查。慢性病仅占他们工作量的19.4%。会诊次数最多的是20至30岁的年轻患者。只有一小部分会诊涉及预防性护理和健康教育(分别占总工作量的0.3%和1.1%)。女性患者强烈倾向于咨询女医生,看女实习医生的人数是看男医生的两倍。该研究对全科实习医生培训期间的教学有启示意义。