Burkett G L, Gelula M H
J Fam Pract. 1982 Sep;15(3):505-12.
Survey data from a large national sample of junior medical students were used to make several comparisons between students indicating a preference for family practice and students selecting other specialties. Comparisons were also made between students on the basis of their interest in primary care vs non-primary care fields. On the basis of measures of premedical school academic performance (undergraduate grade point average and Medical College Admission Test scores), students choosing family practice and those indicating a general preference for primary care were similar to students choosing other specialties or nonprimary care fields. Subjectively, students selecting primary care ranked themselves lower than other students in medical school academic performance. Students with a career interest in primary care also gave greater weight to the desire to help people as a career motivation, were more oriented toward considering the sociopsychological context of patients' problems, and were more likely to perceive a need for change to improve health care in the United States.
来自全国大量低年级医学生样本的调查数据被用于对倾向于家庭医疗的学生和选择其他专业的学生进行多项比较。同时也根据学生对初级保健领域和非初级保健领域的兴趣进行了比较。根据医学院校入学前的学业成绩指标（本科平均绩点和医学院入学考试分数），选择家庭医疗的学生以及那些总体上倾向于初级保健的学生与选择其他专业或非初级保健领域的学生相似。主观上，选择初级保健的学生在医学院学业成绩方面给自己的排名低于其他学生。对初级保健有职业兴趣的学生也更看重帮助他人的愿望作为职业动机，更倾向于考虑患者问题的社会心理背景，并且更有可能意识到需要进行变革以改善美国的医疗保健。
