Brearley W D, Simpson W, Baker R M
J Med Educ. 1982 Jun;57(6):449-54.
Identification of beneficial and detrimental parameters influencing the choice of family practice as a career was the object of the study reported here. Curriculum components and elements during or before medical school were examined. A questionnaire listing 18 factors that influenced specialty choice before residency training was completed by 134 first-year family practice residents. Participation in a family practice clerkship or preceptorship during the third and fourth years of medical school and association with family physicians during or before medical school were perceived as most beneficial. Generally, students' experiences during the first three years were perceived as detrimental to selecting family practice. Also, data indicated that 75 percent of the students select their specialty during years three and four. Medical schools wishing to increase the number of their graduates entering family practice should strongly consider requiring clinical rotations in family medicine and providing maximum exposure to family practice residents and faculty members as role models.
确定影响选择家庭医学作为职业的有利和不利因素是本文所报告研究的目标。研究考察了医学院期间或之前的课程组成部分和要素。一份列出18个影响住院医师培训前专业选择因素的问卷由134名家庭医学一年级住院医师填写。医学院三、四年级参加家庭医学临床实习或导师指导以及医学院期间或之前与家庭医生的接触被认为最有益。一般来说，学生在前三年的经历被认为不利于选择家庭医学。此外，数据表明75%的学生在三、四年级选择专业。希望增加进入家庭医学领域毕业生数量的医学院应强烈考虑要求进行家庭医学临床轮转，并让学生最大限度地接触家庭医学住院医师和教员作为榜样。
