Bredfeldt R C, Proffitt D L, Wesley R M
University of Arkansas for Medical Sciences, Fayetteville 72701.
Fam Med. 1990 Nov-Dec;22(6):434-6.
To determine if differences exist in the perception by residents of the adequacy of training at university or community based programs, a survey was conducted of all 1987 family practice residency graduates in the United States. Of the 2,363 questionnaires mailed and reviewed by graduates, 1,583 were returned (66.8% response rate). Respondents completed the survey within approximately 18 months of completing residency training. The results indicate that overall satisfaction with training, as well as the perception of adequacy of preparation for practice, lessened with increasing university affiliation of the training program (P less than .05). The findings reported here also suggest that university based family practice residency graduates are much more likely to report being treated like "second-class citizens" by attendings and residents of other specialties. In addition, satisfaction with educational rotation experiences is less if competing residencies exist at the institution sponsoring the residency.
为了确定住院医师对大学或社区培训项目充分性的认知是否存在差异，我们对美国1987年所有家庭医学住院医师毕业生进行了一项调查。在毕业生邮寄并填写的2363份问卷中，有1583份被返还（回复率为66.8%）。受访者在完成住院医师培训大约18个月内完成了调查。结果表明，随着培训项目与大学联系的增加，对培训的总体满意度以及对实践准备充分性的认知有所降低（P小于0.05）。此处报告的研究结果还表明，大学家庭医学住院医师毕业生更有可能报告称，其他专科的主治医师和住院医师将他们视为“二等公民”。此外，如果住院医师培训所在机构存在竞争激烈的住院医师项目，对教育轮转经历的满意度会更低。
