Smith M A, Howard K P
Fam Med. 1987 May-Jun;19(3):191-4.
To investigate factors influencing a resident's decision to participate in obstetrical care, a survey was undertaken of program directors and third-year residents from the 16 Michigan family practice residency programs. Responses indicated that the majority of third-year residents (55%) intended to practice obstetrics on graduation. Rural practice plans were significantly correlated with a decision to practice obstetrics, but suburban practice plans were negatively correlated. Residents who reported the presence of a good family practice obstetric role model were significantly more likely to practice obstetrics; residents deciding against obstetrical practice expressed concerns about legal liability and malpractice fees. These findings have important implications for family practice training programs if obstetrics is to remain a central part of comprehensive family care.
为了调查影响住院医师参与产科护理决策的因素，对密歇根州16个家庭医学住院医师培训项目的项目主任和三年级住院医师进行了一项调查。调查结果表明，大多数三年级住院医师（55%）打算毕业后从事产科工作。农村执业计划与从事产科工作的决定显著相关，但郊区执业计划与之呈负相关。报告有优秀的家庭医学产科榜样的住院医师从事产科工作的可能性显著更高；决定不从事产科工作的住院医师表达了对法律责任和医疗事故费用的担忧。如果产科要继续作为综合家庭护理的核心部分，这些发现对家庭医学培训项目具有重要意义。
