Department of Family and Community Medicine, University of California, San Francisco, Fresno, CA, USA.
J Am Board Fam Med. 2010 Jan-Feb;23(1):67-74. doi: 10.3122/jabfm.2010.01.080213.
The purpose of this study was to investigate the extent to which participation in the California Academy of Family Physicians Foundation Family Medicine (FM) Preceptorship Program, as well as medical school, degree earned, gender, and match year predicted FM residency match.
Allopathic and osteopathic students who applied to the preceptorship program from 1996 to 2002 were followed until residency match. Chi-square (chi(2)) analysis was used to compare preceptorship participants, nonparticipants (students who applied but did not complete the preceptorship), and nonapplicants (students who did not apply to the preceptorship) for FM match rates and to compare participants to nonparticipants for primary care match rates. FM match data for California schools from 1999 to 2005 were used to perform a logistic regression predicting FM match.
Twenty-four percent of participants matched into FM residency programs whereas only 13% of nonparticipants and 13% of nonapplicants selected FM (chi(2) = 24.97; P < .001). There was not a statistically significant difference between the proportion of participants and nonparticipants who matched into primary care (chi(2) = 0.12; P = .73). Odds ratio results of logistic regression for participants compared with nonapplicants matching into FM was 2.7 (95% CI, 2.0-3.6; P < .001).
Preceptorship program participants were more likely than both nonparticipants and nonapplicants to select a FM residency.
本研究旨在调查参加加利福尼亚家庭医师学院基金会家庭医学（FM）指导计划的程度，以及医学院、所获得的学位、性别和匹配年份对 FM 住院医师匹配的预测。
从 1996 年至 2002 年，所有申请该指导计划的医学生和骨医学生都被跟踪到住院医师匹配。采用卡方（chi(2)）分析比较指导计划参与者、非参与者（申请但未完成指导计划的学生）和非申请者（未申请指导计划的学生）的 FM 匹配率，并比较参与者和非参与者的初级保健匹配率。使用 1999 年至 2005 年加利福尼亚学校的 FM 匹配数据进行逻辑回归预测 FM 匹配。
24%的参与者匹配到 FM 住院医师项目，而非参与者只有 13%，非申请者只有 13%选择 FM（chi(2) = 24.97；P <.001）。参与者和非参与者匹配到初级保健的比例之间没有统计学上的显著差异（chi(2) = 0.12；P =.73）。与非申请者相比，参与者匹配到 FM 的优势比为 2.7（95%CI，2.0-3.6；P <.001）。
指导计划参与者比非参与者和非申请者更有可能选择 FM 住院医师项目。
