Franklin R R, Samaha P A, Rice J C, Igras S M
Department of Biostatistics and Epidemiology, Tulane Medical Center, New Orleans, LA 70112.
Am J Prev Med. 1985 Jul-Aug;1(4):38-43.
To investigate the associations between medical students' first choice for their graduate medical education specialty (primary care versus non-primary care) and both their sociodemographic characteristics and their perceptions of the importance of 44 factors related to that choice, we conducted a survey of the 1982 senior medical students at the three medical schools in Louisiana. The major differences that we found between the students choosing primary care residency programs and those choosing non-primary care programs included the following: the primary care group was much more likely to be married; to have resided in smaller communities during their childhood, high school, and premedical school years; to have made their decision on a specialty prior to medical school; and to place less importance on hospital reputation, quality of facilities, and up-to-date equipment in choosing a graduate medical program. No differences between the two groups were found for the following variables: whether or not they had children; whether or not they had resided in Louisiana during early childhood, high school, or premedical school; and whether or not they had resided in the South for those same time periods. Although the primary care group had a higher proportion of women than the non-primary care group, the difference was not statistically significant.
为了研究医学生在毕业后医学教育专业的首选（初级保健与非初级保健）与其社会人口学特征以及他们对与该选择相关的44个因素的重要性认知之间的关联，我们对路易斯安那州三所医学院的1982名高年级医学生进行了一项调查。我们发现，选择初级保健住院医师培训项目的学生和选择非初级保健项目的学生之间的主要差异包括：初级保健组的学生结婚的可能性更大；在童年、高中和医学院预科阶段居住在较小社区的可能性更大；在进入医学院之前就已决定专业；在选择毕业后医学项目时，对医院声誉、设施质量和设备先进性的重视程度较低。在以下变量方面，两组之间未发现差异：他们是否有孩子；在幼儿期、高中或医学院预科阶段是否居住在路易斯安那州；在相同时间段内是否居住在南方。虽然初级保健组的女性比例高于非初级保健组，但差异无统计学意义。
