McClure C L, Gall E P, Meredith K E, Gooden M A, Boyer J T
J Fam Pract. 1986 May;22(5):443-8.
There were no significant differences between family practice and internal medicine residents in the proportion of total diagnoses that were reasonable (72 percent and 77 percent, respectively) and unreasonable (14 percent and 15 percent, respectively) or average number of consultations requested per examination (.15 and .16, respectively). There was a significant difference between the two types of physicians in the average number of laboratory tests requested per examination (1.42 per family practice and 1.88 per internal medicine) and average number of x-ray examinations requested per examination (0.35 for family practice and 1.02 for internal medicine). The average length of examination for internal medicine tended to be longer than for family practice. Although generalizability of this study is limited, the results suggest that there may be important differences in the practice patterns of family practice and internal medicine with implications for training programs.
家庭医学科住院医师与内科住院医师在合理诊断（分别为72%和77%）及不合理诊断（分别为14%和15%）占总诊断的比例，或每次检查请求会诊的平均次数（分别为0.15和0.16）方面没有显著差异。两类医师在每次检查请求的实验室检查平均次数（家庭医学科为每次1.42次，内科为每次1.88次）以及每次检查请求的X线检查平均次数（家庭医学科为0.35次，内科为1.02次）上存在显著差异。内科检查的平均时长往往比家庭医学科更长。尽管本研究的可推广性有限，但结果表明家庭医学科与内科的执业模式可能存在重要差异，这对培训项目具有启示意义。
