兑现承诺：探索基层医疗内科住院医师培训项目及方向的培训特点与毕业生职业追求

Delivering on the Promise: Exploring Training Characteristics and Graduate Career Pursuits of Primary Care Internal Medicine Residency Programs and Tracks.

作者信息

Klein Robin, Alonso Samantha, Anderson Caitlin, Vaidya Akanksha, Chams Nour, Kurl Anu, Lim Katryna, Taylor Caitlin, Higgins Stacy M

出版信息

J Grad Med Educ. 2019 Aug;11(4):447-453. doi: 10.4300/JGME-D-19-00010.1.

DOI:10.4300/JGME-D-19-00010.1

PMID:31440340

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6699538/

Abstract

BACKGROUND

Specialized primary care internal medicine (PC IM) residency programs and tracks aim to provide dedicated PC training. How programs deliver this is unclear.

OBJECTIVE

We explored how PC IM programs and tracks provide ambulatory training.

METHODS

We conducted a cross-sectional survey from 2012 to 2013 of PC IM program and track leaders via a search of national databases and program websites. We reported PC IM curricular content, clinical experiences, and graduate career pursuits, and assessed correlation between career pursuits and curricular content and clinical experiences.

RESULTS

Forty-five of 70 (64%) identified PC IM programs and tracks completed the survey. PC IM programs provide a breadth of curricular content and clinical experiences, including a mean 22.8 weeks ambulatory training and a mean 69.4 continuity clinics per year. Of PC IM graduates within 5 years, 55.8% pursue PC or general internal medicine (GIM) careers and 23.1% pursue traditional subspecialty fellowship training. Curricular content and clinical experiences correlate weakly with career choices. PC IM graduates pursuing PC or GIM careers correlated with ambulatory rotation in women's health (correlation coefficient [rho] = 0.36, = .034) and mental health (rho = 0.38, = .023) and curricular content in teaching and medical education (rho = 0.35, = .035). PC IM graduates pursuing subspecialty fellowship negatively correlated with curricular content in leadership and teams (rho = -0.48, = .003) and ambulatory training time (rho = -0.38, = .024).

CONCLUSIONS

PC IM programs and tracks largely deliver on the promise to provide PC training and education and produce graduates engaged in PC and GIM.

摘要

背景

专业初级保健内科（PC IM）住院医师培训项目及方向旨在提供专门的初级保健培训。但项目如何实现这一目标尚不清楚。

目的

我们探讨了PC IM项目及方向如何提供门诊培训。

方法

我们在2012年至2013年期间通过搜索国家数据库和项目网站，对PC IM项目及方向负责人进行了横断面调查。我们报告了PC IM课程内容、临床经验和毕业生职业追求情况，并评估了职业追求与课程内容及临床经验之间的相关性。

结果

70个已确定的PC IM项目及方向中有45个（64%）完成了调查。PC IM项目提供了广泛的课程内容和临床经验，包括平均每年22.8周的门诊培训和平均69.4次连续性门诊。在5年内毕业的PC IM毕业生中，55.8%从事初级保健或普通内科（GIM）职业，23.1%接受传统亚专科进修培训。课程内容和临床经验与职业选择的相关性较弱。从事初级保健或GIM职业的PC IM毕业生与女性健康门诊轮转（相关系数[rho]=0.36，P=.034）、心理健康门诊轮转（rho=0.38，P=.023）以及教学和医学教育课程内容（rho=0.35，P=.035）相关。接受亚专科进修培训的PC IM毕业生与领导力和团队课程内容（rho=-0.48，P=.003）以及门诊培训时间（rho=-0.38，P=.024）呈负相关。