Weddington W H, Gabel L L, Williams T
J Fam Pract. 1986 Sep;23(3):247-52.
This study was performed to determine, relative to Ohio, what percentage of family physicians are actively involved in providing surgical care, what types of surgical care are provided, and what variations exist in opinions and practices regarding surgery related to previous training and practice location. Data were collected from active members of the Ohio Academy of Family Physicians; usable returns were secured from 76 percent of the members. Several conclusions were made. Overwhelming percentages of family physicians in Ohio are actively involved in providing surgical care. A considerably greater percentage of family physicians are actively involved in performing minor surgery compared with major surgery, although they perform a wide range of minor and major surgical procedures at relatively high frequencies. Over the years, however, there has been a decrease in performance of major surgery on the part of family physicians in Ohio. Issues related to surgery in family practice are more positively influenced by being in a rural practice rather than an urban or suburban practice, having had more surgical training, and having had family practice residency training. Family physicians in Ohio definitely think that surgical training should be included in family practice training programs, and they think that the surgical training should be balanced between a curriculum standardized for all residents and one individualized to the anticipated future practices of the residents.
开展本研究是为了确定，相对于俄亥俄州，有多大比例的家庭医生积极参与提供外科护理，提供哪些类型的外科护理，以及在与既往培训和执业地点相关的手术意见和实践方面存在哪些差异。数据收集自俄亥俄州家庭医生学会的活跃会员；76%的会员提供了可用回复。得出了几个结论。俄亥俄州绝大多数家庭医生积极参与提供外科护理。与大手术相比，积极参与小手术的家庭医生比例要高得多，尽管他们以相对较高的频率开展广泛的小手术和大手术。然而，多年来，俄亥俄州家庭医生的大手术执行率有所下降。在家庭医疗实践中，与手术相关的问题受到以下因素的积极影响更大：在农村执业而非城市或郊区执业、接受过更多的外科培训以及接受过家庭医疗住院医师培训。俄亥俄州的家庭医生明确认为，外科培训应纳入家庭医疗培训项目，并且他们认为外科培训应在针对所有住院医师的标准化课程和针对住院医师预期未来实践的个性化课程之间取得平衡。
