Rabinowitz H K
Department of Family Medicine, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA 19107.
Fam Med. 1988 Mar-Apr;20(2):118-21.
Family practice as a career choice has been related to a number of educational variables, including the presence of a required clinical clerkship. In order to determine whether or not the timing of the required clinical clerkship was also related to family practice residency selection, a study was undertaken to investigate the relationship between the required third-year family practice clerkship and family practice career choice. The results showed that students who attended medical schools with a required third-year clerkship in family practice were significantly more likely to enter family practice residency training (16.8%), than students who attended schools with a required fourth-year clerkship (14.5% P less than 0.05), or who attended a school with no required family practice clerkship (12.1%, P less than 0.001). These results support the recommendations of the STFM Task Force on Predoctoral Education that a required third-year clerkship in family practice is important in medical student career choice.
将家庭医学作为职业选择与许多教育变量有关，包括是否设有必修的临床实习课程。为了确定必修临床实习课程的时间安排是否也与家庭医学住院医师培训的选择有关，开展了一项研究，以调查三年级必修的家庭医学临床实习课程与家庭医学职业选择之间的关系。结果显示，就读于设有三年级必修家庭医学临床实习课程医学院校的学生，进入家庭医学住院医师培训的可能性（16.8%）显著高于就读于设有四年级必修临床实习课程医学院校的学生（14.5%，P<0.05），或就读于未设必修家庭医学临床实习课程医学院校的学生（12.1%，P<0.001）。这些结果支持了家庭医学教师协会本科医学教育特别工作组的建议，即三年级必修的家庭医学临床实习课程对医学生的职业选择很重要。
