Glenn J K, Hofmeister R W
J Fam Pract. 1981 Sep;13(3):377-82.
Since 1974 the residency program in family medicine at the University of Missouri-Columbia has required resident physicians to spend approximately 25 percent of their last two years in a faculty supervised rural training center. This paper describes the setting of the rural training, the practice location decisions of the graduates, their recollections about their views regarding rural practice during their training, and their current judgements about the usefulness of that rural training experience. The results offer strong and corroborating evidence that such training is well received, is judged to be different from usual training, and is considered useful in both clinical and personal decision making. A ranking of ten training opportunities inherent in a rural center provides insight into why such experiences are well received. The data are suggestive, though far from conclusive, that participants' initial views about rural practice are reinforced by their rural training experience.
自1974年以来,密苏里大学哥伦比亚分校的家庭医学住院医师培训项目要求住院医师在最后两年中约25%的时间在教师监督下的农村培训中心度过。本文描述了农村培训的背景、毕业生的执业地点选择、他们对培训期间农村执业观点的回忆,以及他们目前对农村培训经历有用性的判断。结果提供了有力且相互印证的证据,表明这种培训很受欢迎,被认为与常规培训不同,并且在临床和个人决策中都很有用。对农村中心固有的十个培训机会进行排名,有助于深入了解这种经历为何受到好评。数据具有启发性,虽然远非结论性的,但表明参与者对农村执业的初始观点因他们的农村培训经历而得到强化。