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流动的医生及其原因:从住院医师到执业医师,1974 - 1978年

Physicians who move and why: from residency to practice, 1974-1978.

作者信息

Wunderman L E, Steiber S R

出版信息

J Med Educ. 1983 May;58(5):389-94.

PMID:6854596
Abstract

As medical residents leave their residencies, a majority also move away from the locales in which they received their training. Data presented in this paper on physicians entering their first professional positions between 1974 and 1978 show that over 65 percent left the counties of their residencies. Following the national migration pattern of the civilian population, the medical residents left the northern "Frost Belt" and entered the southern "Sun Belt" of the United States. Physician "movers" typically were in nonprimary care medical specialties and moved into self-employment or office-based medical practices. These migrating physicians, compared with physician "stayers," were disproportionately male, more often resided in states other than those of their medical education, and moved into smaller urban or nonurban centers of the United States. Other characteristics that distinguish movers from stayers also are presented here.

摘要

随着医学住院医师结束住院医师培训,大多数人也会搬离他们接受培训的地区。本文所呈现的关于1974年至1978年间开始首个专业岗位的医生的数据表明,超过65%的人离开了他们住院医师培训所在的县。遵循平民人口的全国迁移模式,医学住院医师离开了北部的“霜冻带”,进入了美国南部的“阳光带”。“流动”的医生通常从事非初级保健医学专业,并转向自主创业或基于办公室的医疗业务。与“留任”医生相比,这些迁移的医生男性比例过高,更多地居住在其医学教育所在州以外的其他州,并迁入美国较小的城市或非城市中心。这里还呈现了区分流动医生和留任医生的其他特征。

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