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住院医师培训中的上门问诊及其与未来执业的关系。

The house call in residency training and its relationship to future practice.

作者信息

Knight A L, Adelman A M, Sobal J

机构信息

Department of Family Medicine, University of Virginia, Roanoke.

出版信息

Fam Med. 1991 Jan;23(1):57-9.

PMID:2001783
Abstract

The aging of the population makes education in geriatrics vital to family practice residents, including training in house calls. This study examined the relationship of house call training in residency with current house call practices of recent graduates of family practice residencies. A questionnaire mailed to a random national sample of 301 family physicians who completed residency training between 1981 and 1986 obtained a 66% response rate with three mailings. House calls were not required in the curriculum for 80% of respondents, 30% never did house calls in residency, and 55% recognized they were not well trained in house calls. Graduates of programs in which faculty made house calls and those in which residents made house calls on a longitudinal basis were significantly more likely to offer house calls in their practices. This suggests that resident education can offer positive experiences in house call training to encourage future physicians to include house calls in their practices.

摘要

人口老龄化使得老年医学教育对家庭医学住院医师至关重要,包括上门出诊培训。本研究调查了住院医师阶段的上门出诊培训与家庭医学住院医师近期毕业生当前上门出诊实践之间的关系。向1981年至1986年间完成住院医师培训的301名家庭医生的全国随机样本邮寄了一份问卷,经过三次邮寄,回复率为66%。80%的受访者所在课程中不要求上门出诊,30%的人在住院医师阶段从未进行过上门诊治,55%的人认识到自己在上门诊治方面未得到良好培训。教员进行上门出诊的项目的毕业生以及住院医师长期进行上门出诊的项目的毕业生,在其实践中提供上门出诊服务的可能性显著更高。这表明住院医师教育可以在上门诊治培训中提供积极的体验,以鼓励未来的医生在其实践中纳入上门出诊服务。

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