Dworkin P H, Shonkoff J P, Leviton A, Levine M D
Am J Dis Child. 1979 Jul;133(7):709-12. doi: 10.1001/archpedi.1979.02130070045010.
Ninety-seven randomly selected, board-certified pediatricians in five New England states were interviewed by two physicians to explore attitudes toward previous training and current sources of knowledge in developmental pediatrics. Formal training in development was rated as inadequate by 79%, of residency experience was viewed as highly valuable by only 30%, and 47% rated medical school as having no value. Although clinical experience was reported as a valuable source of knowledge by 99% of the sample, almost two thirds did not regard it as an adequate substitute for formal training. Frequent interdisciplinary communication was reported, and professional contacts were described as a highly valuable ongoing source of knowledge. Social class and size of practice did not correlate with differences in consultation patterns. A part-time longitudinal clinical experience for further education was preferred by 97%. Improved training with greater interdisciplinary content is needed.
两名医生对新英格兰五个州随机挑选的97名获得委员会认证的儿科医生进行了访谈，以探究他们对发育儿科学先前培训及当前知识来源的态度。79%的人认为发育方面的正规培训不足，只有30%的人认为住院医师经历非常有价值，47%的人认为医学院没有价值。尽管99%的受访者称临床经验是有价值的知识来源，但近三分之二的人不认为它能充分替代正规培训。报告显示存在频繁的跨学科交流，专业联系被描述为持续且非常有价值的知识来源。社会阶层和诊所规模与咨询模式的差异无关。97%的人更喜欢用于继续教育的兼职纵向临床经验。需要改进培训，增加跨学科内容。
