J Grad Med Educ. 2020 Oct;12(5):583-590. doi: 10.4300/JGME-D-19-00907.1.
Residency training occurs in varied settings. Whether there are differences in the training received by graduates of community- or medical school-based programs has been the subject of debate.
This study examined the perceived preparation for practice, scope of practice, and American Board of Family Medicine (ABFM) board examination pass rates of family physicians in relation to the type of residency program (community, medical school, or partnership) in which they trained.
Predetermined survey responses were abstracted from the 2016 and 2017 National Family Medicine Graduate Survey of ABFM and linked to data about residency programs obtained from the websites of national organizations. Descriptive statistics were used to summarize the data and logistic regression to examine differences between survey results based on type of residency training: community, medical school, or partnership.
Differences in the perception of preparation as well as current scope of practice were noted for the 3 residency types. The differences in perception were mainly noted in hospital-based skills, such as intubation and ventilator management, and in women's health and family planning services, with different program types increasing preparedness perception in different domains.
In general, graduates of family medicine community-based, non-affiliated, and partnership programs perceived they were prepared for and were providing more of the services queried in the survey than graduates of medical school-based programs.
住院医师培训发生在不同的环境中。社区或医学院校为基础的项目的毕业生接受的培训是否存在差异一直是争论的主题。
本研究调查了家庭医生对实践准备、实践范围的看法，以及与他们接受培训的住院医师培训项目类型（社区、医学院或合作）相关的美国家庭医学委员会（ABFM）委员会考试通过率。
从 2016 年和 2017 年 ABFM 的国家家庭医学研究生调查中提取预定的调查回复，并将其与从国家组织网站获得的关于住院医师培训项目的数据相关联。使用描述性统计来总结数据，并使用逻辑回归根据住院医师培训类型（社区、医学院或合作）检查调查结果之间的差异。
在 3 种住院医师培训类型之间，对准备情况的看法以及当前的实践范围存在差异。感知上的差异主要存在于基于医院的技能方面，如插管和呼吸机管理，以及在妇女健康和计划生育服务方面，不同的项目类型在不同的领域增加了对准备情况的感知。
一般来说，家庭医学社区为基础、非附属和合作项目的毕业生认为他们比医学院校为基础的项目的毕业生更有准备并提供了更多调查中查询的服务。
