Woloschuk Wayne, Myhre Douglas, Dickinson James, Ross Shelley
University of Calgary, Alberta, Canada.
University of Alberta, Alberta, Canada.
Can Med Educ J. 2017 Jun 30;8(3):e30-e36. eCollection 2017 Jun.
Family medicine is often selected as an alternate career choice by medical students who do not match to their first choice discipline. Consequently, family medicine residency programs accept and train some residents who prepared for and intended a career in another specialty. The implications of this warrant investigation.
Graduates (2006-2011) of Albertan family medicine residency programs were surveyed to examine differences between physicians who indicated family medicine was their first choice discipline and those who indicated that it was not their first choice. Survey questions targeted practice location, preparedness for practice, perceptions of family medicine, lifestyle satisfaction, and well-being. Principal components analysis was used to examine the factor structure of our survey items and ANOVA and Chi square were used to compare mean scores and proportions, respectively.
The overall response rate was 47.2% (307/651). Most (263) respondents reported that family medicine was their first choice discipline (yes-group); 42 respondents indicated that it was not (no-group) and two did not answer. The two groups were similar demographically. The no-group reported significantly lower mean scores on perceptions of family medicine. There were no significant differences between the two groups in their preparedness for practice and measures of lifestyle satisfaction and well-being.
Irrespective of their perceptions of the discipline, the respondents who did not match to their first choice discipline found family medicine to be a viable career option.
家庭医学常常被那些未能匹配到其首选学科的医学生选作替代职业选择。因此，家庭医学住院医师培训项目接纳并培训一些原本为其他专科做准备且打算从事该专科职业的住院医师。这一情况的影响值得调查。
对艾伯塔省家庭医学住院医师培训项目的毕业生（2006 - 2011年）进行调查，以研究将家庭医学列为首选学科的医生与未将其列为首选学科的医生之间的差异。调查问题涉及执业地点、执业准备情况、对家庭医学的看法、生活方式满意度以及幸福感。主成分分析用于检验我们调查项目的因子结构，方差分析和卡方检验分别用于比较平均得分和比例。
总体回复率为47.2%（307/651）。大多数（263）受访者表示家庭医学是他们的首选学科（是组）；42名受访者表示不是（否组），两名未作答。两组在人口统计学特征上相似。否组在对家庭医学的看法上报告的平均得分显著较低。两组在执业准备情况以及生活方式满意度和幸福感的衡量指标上没有显著差异。
无论他们对该学科的看法如何，未能匹配到首选学科的受访者都发现家庭医学是一个可行的职业选择。
