Taras H L, Nader P R
Department of Pediatrics, University of California, San Diego, La Jolla.
Am J Dis Child. 1990 Oct;144(10):1102-5. doi: 10.1001/archpedi.1990.02150340046021.
Ten years of graduates (1979 through 1988) from a pediatric residency program with a primary care track were surveyed for their perceived level of comfort gained in training for 28 different content/specialty areas of pediatrics and for their recommendations for increasing emphasis/time during residency for these areas. The response rate was 73%. The highest levels of comfort and fewest recommendations for increasing emphasis were for neonatal problems and health maintenance. The lowest perceived comfort levels and the most recommendations for increasing emphasis were for economics of pediatric practice and sports medicine/orthopedics. Graduates from the primary care track of the pediatric residency program expressed more comfort than did regular track graduates for some, but not all, areas of pediatrics emphasized in the primary care track program. Graduates of the first 5 years of study were not as comfortable with their training overall as were graduates from the most recent 5 years. This survey method and its results can provide useful information to medical educators faced with evaluation and revision of pediatric residency training programs.
对一个设有初级保健方向的儿科住院医师培训项目10年(1979年至1988年)的毕业生进行了调查,了解他们在儿科28个不同内容/专业领域培训中所获得的舒适感程度,以及他们对于在住院医师培训期间增加这些领域的重视程度/时间的建议。回复率为73%。舒适感程度最高且增加重视的建议最少的领域是新生儿问题和健康维护。舒适感程度最低且增加重视的建议最多的领域是儿科医疗经济学和运动医学/矫形外科学。儿科住院医师培训项目初级保健方向的毕业生在该初级保健方向项目所强调的部分(但并非全部)儿科领域中,比常规方向的毕业生表现出更高的舒适感。学习前5年的毕业生总体上对其培训的舒适感不如最近5年的毕业生。这种调查方法及其结果可为面临儿科住院医师培训项目评估和修订的医学教育工作者提供有用信息。