Karasu T B, Stein S P, Charles E S
Arch Gen Psychiatry. 1978 Aug;35(8):1024-6. doi: 10.1001/archpsyc.1978.01770320118012.
The American Board of Psychiatry and Neurology eliminated the internship as a requirement for certification in psychiatry in 1970. Preliminary study on a psychiatric inpatient service of internship-trained first-year residents with that of a matched group of residents who entered the same program without the internship disclosed differences in patient care practices. The same group of residents in their subsequent years of training in a psychiatric outpatient service were compared. A chart review comparison disclosed differences in areas of management in psychiatric outpatient treatment, referral patterns, and use of medication. Supervisory ratings of the residents were found to differ substantially in nine of the 15 measured categories.
1970年，美国精神病学与神经病学委员会不再将实习作为精神病学认证的一项要求。对接受过实习培训的一年级住院医师所在的精神病住院服务部门与一组未参加实习但进入同一项目的匹配住院医师所在部门进行了初步研究，结果发现患者护理实践存在差异。对同一组住院医师在随后几年精神科门诊服务培训中的情况进行了比较。图表审查比较发现，在精神科门诊治疗的管理领域、转诊模式和药物使用方面存在差异。研究发现，在15个测评类别中的9个类别中，住院医师的督导评分存在显著差异。
