Greganti M A, Schuster B L
J Med Educ. 1986 Nov;61(11):883-92. doi: 10.1097/00001888-198611000-00004.
Combined residency training in internal medicine and pediatrics is becoming a popular postgraduate program among graduating medical students. The number of such programs has increased rapidly but with little interchange of ideas and without the benefit of a national data base. In this paper, the authors review the experience of two combined programs. Initially established because of the desire to provide broad-based training in primary care, the programs now offer a curriculum that prepares residents for primary care or education in the subspecialties. The difficulty for residents of achieving competence in two disciplines is compounded by a lack of faculty role models. The two programs offer special advantages to the residents and the departments involved. The career outcomes of program graduates have varied from primary care or subspecialty practice in one or both disciplines to faculty positions in teaching institutions. Whether the program remains successful will depend on the ability of its graduates to offer special talents to academic and clinical practice settings and on the availability of funding.
内科与儿科联合住院医师培训正成为即将毕业的医学生中颇受欢迎的研究生项目。此类项目的数量迅速增加，但各项目之间几乎没有思想交流，也没有全国性数据库带来的便利。在本文中，作者回顾了两个联合项目的经验。这两个项目最初设立是为了提供基础广泛的初级保健培训，如今提供的课程能让住院医师为初级保健或专科培训做好准备。由于缺乏教员榜样，住院医师要在两个学科都达到胜任水平变得更加困难。这两个项目为相关住院医师和科室带来了特殊优势。项目毕业生的职业发展结果各不相同，从在一个或两个学科从事初级保健或专科实践到在教学机构担任教员职位。该项目能否持续成功将取决于其毕业生能否为学术和临床实践环境贡献特殊才能，以及资金是否充足。
