Eisenberg J M
J Med Educ. 1979 Apr;54(4):314-22. doi: 10.1097/00001888-197904000-00006.
Although the role of general practice is well established in the United Kingdom's National Health Service, formal postgraduate training for primary care practice is a recent development. Trainees may enter three-year programs of coordinated inpatient and outpatient training or may select a series of independent posts. Programs have been developed to train general practitioners as teachers, and innovative courses have been established. Nevertheless, there is a curious emphasis on inpatient experiences, especially since British general practitioners seldom treat patients in the hospital. In their outpatient experiences trainees are provided with little variety in their instructors, practice settings, and medical problems. The demands on this already strained system will soon be increased due to recent legislation requiring postgraduate training for all new general practitioners. With a better understanding of training for primary care in the National Health Service, those planning American primary care training may avoid the problems and incorporate the attributes of British training for general practice.
尽管全科医疗在英国国民医疗服务体系中的作用已得到充分确立，但初级保健实践的正规研究生培训却是最近才发展起来的。学员可以参加为期三年的住院和门诊协调培训项目，也可以选择一系列独立的岗位。已经制定了培训全科医生成为教师的项目，并开设了创新课程。然而，人们奇怪地强调住院经历，尤其是因为英国的全科医生很少在医院治疗患者。在门诊实习中，学员在带教老师、实习环境和医疗问题方面的选择很少。由于最近的立法要求所有新的全科医生都要接受研究生培训，对这个已经不堪重负的系统的需求很快就会增加。通过更好地了解英国国民医疗服务体系中的初级保健培训，那些规划美国初级保健培训的人或许可以避免这些问题，并借鉴英国全科医疗培训的优点。
