Pearson C R, Goss B M
J R Coll Gen Pract. 1989 Aug;39(325):320-3.
A general practitioner trainee's workload over one year was compared with a sample of his trainer's workload in order to identify and explain any differences. In line with previous studies the trainee saw relatively fewer patients with chronic diseases, fewer women of child-bearing age and fewer elderly patients but more children, more men and more acute problems. However, the trainee saw a marked excess of ear, nose and throat conditions and asthma which is explained by his special interest in these two subjects. Over the first six months the number of doctor-initiated consultations seen by the trainee increased steadily and remained fairly constant over the second six months. Periodic study throughout the year enabled the provision of extra experience in areas where the trainee had seen few cases.
为了识别并解释差异，将一名全科医生实习生一年的工作量与他的带教老师工作量样本进行了比较。与之前的研究一致，实习生诊治的慢性病患者相对较少，育龄女性和老年患者较少，但儿童、男性和急性病问题较多。然而，实习生诊治的耳鼻喉疾病和哮喘病例明显过多，这是因为他对这两个学科有特别兴趣。在头六个月里，实习生发起的会诊数量稳步增加，在后六个月里保持相当稳定。全年的定期学习使得实习生能够在病例较少的领域获得额外经验。
