Barbato A, Frazier R, Leischner R, Gunzburger L, Loesch T, Yang L M
Department of Continuing Medical Education, Loyola University of Chicago Stritch School of Medicine, Maywood, Illinois.
J Med Educ. 1988 Jul;63(7):505-14. doi: 10.1097/00001888-198807000-00001.
The purpose of the study reported here was to identify differences between graduates who were in different curricula at Loyola University of Chicago Stritch School of Medicine. The physicians who had been in the special track, which combined the basic and clinical sciences throughout the program, chose specialties in family practice and psychiatry more than the regular track students and more often were salaried. One-third of those in the special curriculum felt the greatest strength of their medical school training was the preparation for independent learning, and a majority viewed a practice in which there were uncertainties in diagnosis as desirable. The traditional program graduate preferred to deal with cases in which important decisions had to be made rapidly and the effects of treatment could be immediately addressed. The two groups disagreed as to who should have major control of health care, on issues of peer review in the office, and on the emphasis physicians should give preventive care.
本文所报告的研究目的是确定芝加哥洛约拉大学斯特里奇医学院不同课程的毕业生之间的差异。参加特殊课程的医生,即在整个课程中结合了基础科学和临床科学的医生,选择家庭医学和精神病学专业的人数比常规课程的学生更多,而且受雇的情况也更常见。参加特殊课程的人中,三分之一认为他们医学院培训的最大优势在于为自主学习所做的准备,而且大多数人认为诊断存在不确定性的实践是可取的。传统课程的毕业生更喜欢处理必须迅速做出重要决策且治疗效果能立即显现的病例。在医疗保健应由谁主要控制、办公室同行评审问题以及医生应给予预防保健的重视程度等问题上,两组存在分歧。