Hitchcock M A, Kreis S R, Foster B M
Family Practice Faculty Development Center, Waco, Tex. 76707.
Fam Med. 1989 Mar-Apr;21(2):122-6.
This study identified the relative influence of eight major factors on students' selections of family practice residency programs in Texas. All students (127) selected through the National Residency Matching Program in 1987 by 22 residency programs in Texas were surveyed. Based on a 91% response rate, 52 rating scale items were subjected to exploratory and confirmatory factor analyses. The resulting eight factors were rank ordered according to program type (eg, medical school based) based on mean scores of items that loaded on each factor. The factor most influential in students' selections of programs was the "quality of training" they perceived they would receive, while the least important factor was "resident compensation and benefits." Students who selected medical school based programs and community based, medical school affiliated programs differed significantly as to the importance they placed on the "academic orientation of the program" and the "attitude toward family physicians" in their program selections.
本研究确定了八个主要因素对德克萨斯州学生选择家庭医学住院医师培训项目的相对影响。对1987年通过全国住院医师匹配项目被德克萨斯州22个住院医师培训项目录取的所有学生（127名）进行了调查。基于91%的回复率，对52个评级量表项目进行了探索性和验证性因素分析。根据每个因素上加载项目的平均得分，将得出的八个因素按项目类型（如医学院附属医院项目）进行排序。对学生选择项目影响最大的因素是他们认为自己将获得的“培训质量”，而最不重要的因素是“住院医师薪酬和福利”。在选择项目时，选择医学院附属医院项目和社区医学院附属医院项目的学生在对“项目的学术导向”和“对家庭医生的态度”的重视程度上存在显著差异。
