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改善门诊实践认知:内科住院医师的第二次连续性体验。

Improving the Perception of Outpatient Practice: A Second Continuity Experience for Internal Medicine Residents.

作者信息

Jeremiah Jennifer, McGarry Kelly, Monteiro Joao Filipe Goncalves

机构信息

Associate Professor of Medicine (Clinical), Alpert Medical School of Brown University, Providence, RI; Department of Medicine, Rhode Island Hospital.

Associate Professor of Medicine, Alpert Medical School of Brown University, Providence, RI; Department of Medicine, Rhode Island Hospital.

出版信息

R I Med J (2013). 2017 Apr 3;100(4):19-22.

Abstract

BACKGROUND

The challenges trainees experience in the traditional medical clinic are felt to be one deterrent to choosing a primary care career.

OBJECTIVE

We examined whether participation in a second outpatient continuity experience (Second Site) affects trainee perception of primary care practice.

METHODS

241 current and former graduates of the Brown Alpert Medical School Internal Medicine training programs were surveyed about their experiences with Second Site.

RESULTS

Of the 232 potential responders, 160 completed the survey. Although most did not feel that the experience altered their chosen career path, a positive perception of outpatient practice was noted by 97% of the primary care respondents and 92% of the subspecialty respondents.

CONCLUSION

Second Site improved the perception of outpatient practice. A large number of our residents enter primary care, thus, few residents' careers were influenced by Second Site. Despite this, Second Site might enhance interest in primary care careers at other institutions. [Full article available at http://rimed.org/rimedicaljournal-2017-04.asp].

摘要

背景

学员们在传统医疗诊所所经历的挑战被认为是阻碍他们选择初级保健职业的一个因素。

目的

我们研究了参与第二次门诊连续性体验(第二站点)是否会影响学员对初级保健实践的认知。

方法

对布朗大学阿尔珀特医学院内科培训项目的241名现任和往届毕业生进行了关于他们在第二站点体验的调查。

结果

在232名潜在受访者中,160人完成了调查。虽然大多数人认为这段经历没有改变他们选择的职业道路,但97%的初级保健受访者和92%的亚专科受访者对门诊实践有积极的认知。

结论

第二站点改善了对门诊实践的认知。我们大量的住院医师进入初级保健领域,因此,很少有住院医师的职业受到第二站点的影响。尽管如此,第二站点可能会增强其他机构对初级保健职业的兴趣。[全文可在http://rimed.org/rimedicaljournal-2017-04.asp获取]

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