Sorosky J I, Ekbladh L E
Department of Obstetrics and Gynecology, Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Obstet Gynecol. 1989 Jul;74(1):130-2.
To assist medical students who wish to pursue a residency training program in obstetrics and gynecology in planning senior-year rotations, a questionnaire was sent to university Department Chairs. Each Chair was asked to construct a curriculum consisting of ten 4-week rotations. The respondents described a balanced general medical education consisting primarily of internal medicine, surgery, and pediatrics. Thirty percent of respondents believed these students should not take any rotations in obstetrics and gynecology, and 47% felt that one rotation in obstetrics and gynecology was sufficient. A "pre-residency syndrome" has been described in the literature, wherein fourth-year medical students take multiple rotations in the specialty in which they are seeking residency training. The majority of university Department Chairs supported a balanced general medical education during the fourth year of medical school rather than a narrow curriculum in which students take multiple electives in obstetrics and gynecology.
为帮助希望参加妇产科住院医师培训项目的医学生规划大四轮转课程，向各大学系主任发放了一份调查问卷。要求每位系主任制定一份包含十个四周轮转课程的课程表。受访者描述了一个以内科、外科和儿科为主的均衡的普通医学教育。30%的受访者认为这些学生不应参加任何妇产科轮转课程，47%的人觉得参加一次妇产科轮转课程就足够了。文献中描述了一种“住院医师前综合征”，即四年级医学生在他们寻求住院医师培训的专业中进行多次轮转。大多数大学系主任支持医学院四年级进行均衡的普通医学教育，而不是让学生在妇产科选修多门课程的狭窄课程设置。
