Smith S R
Brown University Program in Medicine, Providence, Rhode Island.
J Med Educ. 1988 Apr;63(4):276-82.
The influence of the "preresidency syndrome" on students' selection of fourth-year courses was examined. The fourth-year courses selected by the classes of 1982 and 1986 in the Brown University Program in Medicine were compared. The author considered that members of the 1982 class were less likely than those in the 1986 class to have been influenced by perceptions of increased competition for residency positions. The students in the class of 1986 were found to have deferred third-year clerkships into the fourth year more often than the class of 1982. The class of 1986 selected more courses related to their intended specialty than did the class of 1982, particularly for those intending to pursue residencies in orthopedics. Also, the class of 1986 spent a greater proportion of their fourth year in electives at hospitals where they intended to apply for residencies. These data support the contention that medical students' perception that residency positions were more difficult to obtain led to changes in selecting courses in the fourth-year of medical school.
研究了“住院医师实习前综合征”对学生四年级课程选择的影响。比较了布朗大学医学项目1982届和1986届学生所选的四年级课程。作者认为，1982届学生比1986届学生受住院医师职位竞争加剧观念影响的可能性更小。结果发现，1986届学生比1982届学生更常将三年级的临床实习推迟到四年级。1986届学生比1982届学生选择了更多与他们预期专业相关的课程，特别是对于那些打算从事骨科住院医师实习的学生。此外，1986届学生四年级在他们打算申请住院医师实习的医院进行选修课学习的比例更高。这些数据支持了这样一种观点，即医学生认为获得住院医师职位更难的观念导致了医学院四年级课程选择的变化。
