Pearson R J, Kane W M, Keimowitz H K
Department of Community Medicine, West Virginia University, Morgantown.
Am J Prev Med. 1988 Sep-Oct;4(5):289-97.
Following the 1980 Graduate Medical Education National Advisory Committee report, postal questionnaires were sent to a random sample of physicians self-designated as preventive medicine specialists primarily in an effort to verify the committee's assumption that preventive medicine is not a clinical specialty. The questionnaires represented each of the preventive medicine subspecialties: general preventive medicine, public health, occupational medicine, and aerospace medicine. After three reminders, 419 out of 942 (44%) responded. Seventy percent of the physicians who responded engage in clinical activities for at least part of their workweek. Preventive medicine is practiced in a wide variety of settings. For the majority of preventive medicine physicians, prevention plays an important role in their practice. They perceive that they practice medicine differently from their colleagues who are not preventive medicine specialists because of their prevention focus. Many of these physicians have made career changes, and some have made many such changes, as board certification in one of the subspecialties does not preclude practice in another subspecialty. The specialty appears to allow considerable flexibility. The preventive medicine physician is prepared to incorporate prevention into clinical practice and seems well equipped to integrate community and individual clinical approaches.
继1980年研究生医学教育全国咨询委员会发布报告之后，研究人员向随机抽取的自称为预防医学专家的医生样本发放了邮政问卷，主要目的是核实该委员会的一项假设，即预防医学并非临床专业。问卷涵盖了预防医学的各个亚专业：普通预防医学、公共卫生、职业医学和航空航天医学。在三次催复之后，942名受访者中有419人（44%）回复。回复的医生中有70%在至少部分工作周内从事临床活动。预防医学在各种各样的环境中开展。对于大多数预防医学医生来说，预防在他们的实践中发挥着重要作用。他们认为，由于专注于预防，他们的行医方式与非预防医学专家的同事不同。这些医生中有许多人改变了职业方向，有些人多次改变，因为某一亚专业的委员会认证并不排除在另一亚专业执业。该专业似乎具有相当大的灵活性。预防医学医生准备将预防纳入临床实践，而且似乎具备整合社区和个体临床方法的良好条件。
