Department of Family Medicine, University of Washington, Seattle, WA.
Department of Family and Community Medicine, Medical College of Wisconsin - Central Wisconsin, Wausau, WI.
Fam Med. 2022 Jul;54(7):531-535. doi: 10.22454/FamMed.2022.436125.
Student-directed activities such as family medicine interest groups (FMIG) and student-run free clinics (SRFC) have been examined to discover their impact on entry into family medicine and primary care. The objective of this review was to synthesize study results to better incorporate and optimize these activities to support family medicine and primary care choice.
We conducted a comprehensive literature search using PubMed, Scopus, and CINAHL to identify all English-language research articles on FMIG and SRFC. We examined how participation relates to entry into family medicine and primary care specialties. Exclusion criteria were nonresearch articles, review articles, and research conducted outside the United States, Canada, Australia, and New Zealand. We used a 16-point quality rubric to evaluate 18 (11 FMIG, seven SRFC) articles that met our criteria.
Of the nine articles that examined whether FMIG participation impacted entry into family medicine, five papers noted a positive relationship, one paper noted unclear correlation, and three papers noted that FMIG did not impact entry into family medicine. Of the seven articles about SRFC, only one showed a positive relationship between SRFC activity and entry into primary care.
Larger-scale and higher quality studies are necessary to determine the impact of FMIG and SRFC on entry into family medicine and primary care. However, available evidence supports that FMIG participation is positively associated with family medicine career choice. In contrast, SRFC participation is not clearly associated with primary care career choice.
家庭医学兴趣小组（FMIG）和学生经营的免费诊所（SRFC）等学生主导的活动已经过研究，以发现它们对进入家庭医学和初级保健的影响。本研究的目的是综合研究结果，更好地纳入和优化这些活动，以支持家庭医学和初级保健的选择。
我们使用 PubMed、Scopus 和 CINAHL 进行了全面的文献检索，以确定所有关于 FMIG 和 SRFC 的英文研究文章。我们研究了参与与进入家庭医学和初级保健专业之间的关系。排除标准是非研究文章、综述文章以及在美国、加拿大、澳大利亚和新西兰以外进行的研究。我们使用 16 分的质量评分标准评估了符合我们标准的 18 篇文章（11 篇 FMIG，7 篇 SRFC）。
在九篇研究 FMIG 参与是否影响进入家庭医学的文章中，有五篇论文指出存在正相关关系，一篇论文指出相关性不明确，三篇论文指出 FMIG 不影响进入家庭医学。在七篇关于 SRFC 的文章中，只有一篇文章表明 SRFC 活动与进入初级保健之间存在正相关关系。
需要进行更大规模和更高质量的研究，以确定 FMIG 和 SRFC 对进入家庭医学和初级保健的影响。然而，现有证据支持 FMIG 参与与家庭医学职业选择呈正相关。相比之下，SRFC 参与与初级保健职业选择没有明显关联。
