Wayne Sharon, Timm Craig, Serna Lisa, Solan Brian, Kalishman Summers
Office of Program Evaluation, Education, and Research, University of New Mexico School of Medicine (UNMSOM), Albuquerque, NM 87131-0001, USA.
J Health Care Poor Underserved. 2010 May;21(2):438-47. doi: 10.1353/hpu.0.0317.
The number of medical students entering primary care residencies continues to decrease. The association between student attitudes toward underserved populations and residency choice has received little attention even though primary care physicians see a larger proportion of underserved patients than most other specialists. We evaluated attitudes toward underserved populations in 826 medical students using a standardized survey, and used logistic regression to assess the effect of attitudes, along with other variables, on selection of a primary care residency. We compared results between two groups defined by year of entry to medical school (1993-99 and 2000-05) to determine whether associations differed by time period. Students' attitudes regarding professional responsibility toward underserved populations remained high over the study period; however, there was a statistically. significant association between positive attitudes and primary care residency in the early cohort only. This association was not found in the more recent group.
进入基层医疗住院医师培训项目的医学生数量持续减少。尽管基层医疗医生诊治的医疗服务不足患者比例高于大多数其他专科医生，但学生对医疗服务不足人群的态度与住院医师培训选择之间的关联却很少受到关注。我们使用标准化调查问卷对826名医学生对医疗服务不足人群的态度进行了评估，并运用逻辑回归分析来评估态度以及其他变量对选择基层医疗住院医师培训的影响。我们比较了按进入医学院年份划分的两组（1993 - 1999年和2000 - 2005年）之间的结果，以确定这种关联是否因时间段而异。在整个研究期间，学生对医疗服务不足人群的职业责任感态度一直很高；然而，仅在早期队列中，积极态度与基层医疗住院医师培训之间存在统计学上的显著关联。在最近一组中未发现这种关联。
