Department of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA.
Teach Learn Med. 2011 Jan;23(1):53-7. doi: 10.1080/10401334.2011.536893.
Little is known about the factors during internal medicine residency that influence career choice.
To determine if rural training experiences were associated with primary care career choice.
We conducted a retrospective cohort study at a single, large, internal medicine residency program. We reviewed self-reported career plan at the time of graduation. Independent variables obtained from curricular data included track (categorical or primary care), gender, year of graduation, timing of clinic block, and having had a rural training experience. We studied 451 program graduates who completed all three years of training between the years 1996 and 2006.
Factors associated with an intended primary care career at the time of graduation were: primary care track (OR 4.5, 95% CI 2.4-8.6) and a rural training experience (OR 2.1, 95% CI 1.3-3.4).
These data suggest that provision of more rural training experiences might increase interest in primary care careers.
内科住院医师培训期间影响职业选择的因素知之甚少。
确定农村培训经历是否与选择初级保健职业有关。
我们在一个单一的大型内科住院医师培训项目中进行了回顾性队列研究。我们回顾了毕业时的自我报告职业规划。课程数据中获得的自变量包括轨道（分类或初级保健）、性别、毕业年份、诊所轮次时间以及是否有农村培训经历。我们研究了 1996 年至 2006 年间完成所有三年培训的 451 名项目毕业生。
与毕业后预期从事初级保健职业相关的因素包括：初级保健轨道（OR 4.5，95%CI 2.4-8.6）和农村培训经历（OR 2.1，95%CI 1.3-3.4）。
这些数据表明，提供更多的农村培训经验可能会增加对初级保健职业的兴趣。
