Roback H B, Crowder M K
Department of Psychiatry, Vanderbilt University School of Medicine, Nashville, TN 37232.
Am J Psychiatry. 1989 Jan;146(1):96-8. doi: 10.1176/ajp.146.1.96.
The authors report on a nationwide survey of psychiatric residency training directors who responded to a questionnaire designed to elicit information on the magnitude of the problem of unacceptable performance by residents. One hundred six program directors reported on 5,591 internship or residency positions from 1981 to 1985. A total of 184 residents (3.3%) were prematurely terminated or persuaded to resign; departmental deliberations were held on an additional 139 residents (2.5%). Reasons for dismissal and indications during the selection process that a trainee might prove problematic are discussed. A provocative finding was that 37% of terminated residents were accepted into other psychiatry training programs.
作者报告了一项针对精神病学住院医师培训主任的全国性调查，这些主任对一份旨在获取有关住院医师表现不佳问题严重程度信息的问卷做出了回应。106名项目主任报告了1981年至1985年期间的5591个实习或住院医师职位。共有184名住院医师（3.3%）被提前终止培训或被劝辞职；另外139名住院医师（2.5%）进行了部门审议。文中讨论了解雇原因以及在选拔过程中显示一名受训者可能会出现问题的迹象。一个引人深思的发现是，37%被终止培训的住院医师被其他精神病学培训项目录取。
