Campos-Outcalt D E
Maricopa County Department of Health Services, Phoenix, AZ.
Am J Prev Med. 1985 Jul-Aug;1(4):50-1.
Since 1974 the Hispanic medical and premedical students at the University of California, Davis, have operated a free clinic in a Hispanic community in Sacramento with the support and assistance of the family practice department. Using National Residency Matching Program data for the years 1978-1982, we compared the specialties selected by the students who had participated in Clinica Tepati for elective credit with those selected by all other graduating students. Almost all of the Clinica Tepati students (96.5 percent) selected one of the primary care specialties--family practice, pediatrics, and internal medicine--with 55.2 percent selecting family practice. These specialty choices of the Clinica Tepati students were significantly different from those of the other students. No cause-and-effect relationship can be determined when studying a self-selected group of students, yet the large percentage of the Clinica Tepati students selecting primary care does point toward such community-oriented experiences having some value in motivating or reinforcing a student's choice of primary care as a career goal.
自1974年以来，加利福尼亚大学戴维斯分校的西班牙裔医学和医学预科学生在家庭医学系的支持和协助下，在萨克拉门托的一个西班牙裔社区开办了一家免费诊所。利用1978 - 1982年全国住院医师匹配计划的数据，我们比较了参加特帕蒂诊所（Clinica Tepati）获得选修学分的学生所选的专业与所有其他毕业学生所选的专业。几乎所有特帕蒂诊所的学生（96.5%）都选择了初级保健专业之一——家庭医学、儿科学和内科学，其中55.2%选择了家庭医学。特帕蒂诊所学生的这些专业选择与其他学生的选择有显著差异。在研究一组自行选择的学生时，无法确定因果关系，但特帕蒂诊所很大比例的学生选择初级保健确实表明，这种以社区为导向的经历在激励或强化学生将初级保健作为职业目标的选择方面具有一定价值。
