Zweig S, Williamson H A
Department of Family and Community Medicine, School of Medicine, University of Missouri-Columbia 65212.
J Fam Pract. 1987 Nov;25(5):491-6.
The outpatient experience of two cohorts of family medicine residents was compared. Those who worked at a site with an existing faculty practice had fewer pregnancy-related patient encounters and proportionately more encounters for acute self-limited care compared with residents at a site without a faculty practice (P less than .001). More important, the faculty-associated residents also cared for fewer patients with a variety of chronic diseases and saw them less frequently. These findings suggest that a coexistent faculty practice may have adverse effects on outpatient training in primary care.
对两组家庭医学住院医师的门诊经历进行了比较。与在没有教师门诊的地点工作的住院医师相比，在有现有教师门诊的地点工作的住院医师与妊娠相关的患者诊疗次数较少，而急性自限性疾病诊疗次数相对较多（P<0.001）。更重要的是，与教师相关的住院医师照顾的患有各种慢性病的患者也较少，且看诊频率较低。这些发现表明，并存的教师门诊可能对初级保健的门诊培训产生不利影响。
