Bieck Ashley D, Biggs Wendy S, Crosley Philip W, Kozakowski Stanley M
Medical Education Division, American Academy of Family Physicians, Leawood, KS 66211, USA.
Fam Med. 2012 Oct;44(9):615-9.
The percentage of US seniors choosing primary care careers remains well below the nation's future workforce needs. Data in this article are collected from the 2012 National Resident Matching Program (NRMP) Main Residency Match and the 2012 American Academy of Family Physicians (AAFP) Medical Education Residency Census, which had a response rate of 100%. The census verified residents who entered training July 2012 from all medical schools. The information provided includes the number of applicants to graduate medical education programs for the 2012--2013 academic year, specialty choice, and trends in specialty selection. Compared with the 2011 Match, family medicine residency programs filled 35 more positions (with 18 more US seniors) through the NRMP in 2012. In other primary care fields, 31 more primary care internal medicine positions (20 more US seniors), two fewer positions in pediatrics-primary care (one less US senior), and 18 fewer positions in internal medicine-pediatrics programs (33 fewer US seniors) filled. The 2012 NRMP results indicate a small increase in medical students choosing primary care careers for the third year in a row; however, students continue to show an overall preference for subspecialty careers.
美国选择初级保健职业的老年人比例仍远低于美国未来劳动力的需求。本文中的数据来自2012年全国住院医师匹配计划（NRMP）主要住院医师匹配项目以及2012年美国家庭医师学会（AAFP）医学教育住院医师普查，后者的回应率为100%。该普查核实了2012年7月从所有医学院校进入培训的住院医师情况。所提供的信息包括2012 - 2013学年申请毕业后医学教育项目的人数、专业选择以及专业选择趋势。与2011年的匹配情况相比，2012年通过NRMP，家庭医学住院医师项目多填补了35个职位（其中多了18名美国老年人）。在其他初级保健领域，初级保健内科多填补了31个职位（多了20名美国老年人），儿科初级保健职位少了2个（少了1名美国老年人），内科 - 儿科项目职位少了18个（少了33名美国老年人）。2012年NRMP的结果表明，选择初级保健职业的医学生连续第三年略有增加；然而，学生们总体上仍更倾向于亚专科职业。
