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基层医疗内科:20世纪90年代具有挑战性的职业选择。

Primary care internal medicine: a challenging career choice for the 1990s.

作者信息

Lipkin M, Levinson W, Barker R, Kern D, Burke W, Noble J, Wartman S, Delbanco T L

机构信息

New York University School of Medicine, New York.

出版信息

Ann Intern Med. 1990 Mar 1;112(5):371-8. doi: 10.7326/0003-4819-112-5-371.

DOI:10.7326/0003-4819-112-5-371
PMID:2306065
Abstract

A career in primary care internal medicine can be challenging and rewarding, yet during the last decade fewer medical students have selected training in internal medicine. We wish to inform medical students, their advisors, and other physicians about the field of primary care internal medicine. We define the discipline, compare it with traditional internal medicine and with family practice, and describe features of strong primary care internal medicine training programs. We discuss common misconceptions and concerns about training programs and the career and give examples of career paths chosen by graduates of primary care programs. We encourage students to consider the option of primary care internal medicine when making career decisions and provide faculty advisors unfamiliar with primary care internal medicine training programs with a reference resource.

摘要

从事初级保健内科工作既具有挑战性又有回报,但在过去十年里,选择内科培训的医学生越来越少。我们希望向医学生、他们的导师以及其他医生介绍初级保健内科领域。我们定义这一学科,将其与传统内科和家庭医学进行比较,并描述强大的初级保健内科培训项目的特点。我们讨论对培训项目和该职业常见的误解与担忧,并列举初级保健项目毕业生所选择的职业道路示例。我们鼓励学生在做出职业决策时考虑初级保健内科这一选择,并为不熟悉初级保健内科培训项目的教师顾问提供一份参考资料。

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Osler's choice: one person's perspective on the past and future of internal medicine.奥斯勒的抉择:一个人对内科医学过去与未来的看法
Trans Am Clin Climatol Assoc. 2000;111:164-85; discussion 185-7.
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Preparing physicians for careers in primary care internal medicine: 17 years of residency experience.培养内科初级保健领域的医生:17年的住院医师培训经验。
Bull N Y Acad Med. 1997 Summer;74(1):20-30.
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Unique educational program in critical care medicine for the general internist.针对普通内科医生的危重症医学独特教育项目。
J Gen Intern Med. 1993 Mar;8(3):126-9. doi: 10.1007/BF02599755.
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Quantitating qualitative issues in residency training: development and testing of a scaled program evaluation questionnaire.量化住院医师培训中的定性问题:一份分级项目评估问卷的开发与测试
J Gen Intern Med. 1993 Nov;8(11):610-3. doi: 10.1007/BF02599716.
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Practice satisfaction and dissatisfaction in general internal medicine departments of large multispecialty clinics.大型多专科诊所普通内科的执业满意度与不满情况
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Collaboration in the preparation of the generalist physician.全科医生培养中的协作。
J Gen Intern Med. 1994 Apr;9(4 Suppl 1):S55-63. doi: 10.1007/BF02598119.
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Women's health and enhancing generalism in internal medicine.女性健康与提升内科的全科医疗水平
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J Gen Intern Med. 1995 Aug;10(8):429-35. doi: 10.1007/BF02599914.