Tarlov A R, Weil P A, Schleiter M K
Ann Intern Med. 1979 Aug;91(2):287-94. doi: 10.7326/0003-4819-91-2-287.
Questionnaire II of the National Study of Internal Medicine Manpower was directed to all of the 1502 subspecialty training programs in the United States and Puerto Rico. The overall response rate was 86%. For the years 1972-1973 through 1976-1977 the number of fellows in subspecialty training grew at an average rate of 10.6% per year, or one and one-half times greater than the growth rate of 7.2% in the number of first-year residents in training for the same time period. In 1976-1977 there were 5826 fellows in subspecialty fellowship training, of whom 26% were foreign medical graduates. Stipends for subspecialty fellows in 1976-1977 amounted to $90 million, 40% of which was derived from direct federal funds and 33% from hospital revenues. Most of the subspecialty fellowship programs were in large teaching hospitals, which are closely affiliated with the nation's medical schools. The 1976-1977 professional activities of former subspecialty trainees who had finished their training between 1972 and 1976 were distributed roughly in thirds between research-teaching, teaching-practice, and practice. We discuss public policy implications of the data.
美国内科医师人力全国调查的问卷二面向美国本土及波多黎各的所有1502个亚专业培训项目。总体回复率为86%。在1972 - 1973年至1976 - 1977年期间，接受亚专业培训的学员数量平均每年增长10.6%，比同期第一年住院医师培训人数7.2%的增长率高出二分之一。1976 - 1977年，有5826名学员接受亚专业奖学金培训，其中26%是外国医学毕业生。1976 - 1977年亚专业学员的津贴总计9000万美元，其中40%来自联邦直接拨款，33%来自医院收入。大多数亚专业奖学金项目设在与美国医学院紧密相关的大型教学医院。1972年至1976年期间完成培训的前亚专业学员在开展1976 - 1977年专业活动时，大致有三分之一从事研究 - 教学工作，三分之一从事教学 - 实践工作，三分之一从事实践工作。我们将讨论这些数据对公共政策的影响。
