Peckham B M
Am J Obstet Gynecol. 1978 Dec 1;132(7):709-16. doi: 10.1016/s0002-9378(78)80004-0.
Residency training goals and manpower needs in the 1980's and beyond should bear a consistent relationship. Projections for supply and demand for obstetrics and gynecology and for those medical specialties with overlapping responsibilities, though fraught with uncertainties, suggest that currently approved training programs in obstetrics and gynecology will meet clinical manpower needs for 1990. The role of the obstetrician-gynecologist in the primary care of women will be increasingly shared with others and the trend in urban areas for task delegation seems likely to increase. The popular and pervasive emphasis on primary care carries with it the serious risk that the present shortage of qualified investigators may not be corrected in the next decade. This could seriously hamper our efforts to recruit new faculty and maintain quality in our training programs.
20世纪80年代及以后的住院医师培训目标与人力需求应保持一致关系。妇产科以及那些职责重叠的医学专业的供需预测,尽管充满不确定性,但表明目前批准的妇产科培训项目将满足1990年的临床人力需求。妇产科医生在女性初级保健中的作用将越来越多地由其他人分担,并且城市地区任务委托的趋势似乎可能会增加。对初级保健普遍且广泛的重视带来了一个严重风险,即目前合格研究人员短缺的情况在未来十年可能无法得到纠正。这可能会严重阻碍我们招聘新教员以及维持培训项目质量的努力。