Crain L S, Dienst E R, Malloy M J
West J Med. 1981 Sep;135(3):248-51.
In response to concerns questioning the relevance for future pediatric generalists of traditional hospital-based, subspecialty-oriented pediatric residency training, new residency programs emphasizing increased ambulatory, continuity care training experiences have been developed.We compared the career activities of physicians who had received their pediatric residency training in the traditional, predominantly inpatient program and in the predominantly ambulatory primary care program at the University of California, San Francisco. Three groups were surveyed: (1) pre-1975, those who received training in the traditional program before 1975, (2) post-1975, those who were trained in the traditional program after 1975 and (3) primary care, those who received their training in the primary care program beginning in 1975. The results indicate that more than twice as many former primary care residents as traditional residents are practicing primary care. Since the development of two pediatric training tracks, satisfaction with program relevance has increased among those who practice primary care. The results indicate that there is a greater commitment to primary care practice among residents trained in the primary care program.
针对对传统的以医院为基础、以亚专业为导向的儿科住院医师培训对未来儿科全科医生的相关性的质疑，已开发出强调增加门诊连续性护理培训经历的新住院医师培训项目。我们比较了在加利福尼亚大学旧金山分校接受传统的、主要为住院培训项目以及主要为门诊初级保健项目的儿科住院医师培训的医生的职业活动。调查了三组人员：（1）1975年前组，即1975年之前在传统项目中接受培训的人员；（2）1975年后组，即1975年之后在传统项目中接受培训的人员；（3）初级保健组，即1975年开始在初级保健项目中接受培训的人员。结果表明，从事初级保健工作的前初级保健住院医师人数是传统住院医师的两倍多。自从有了两条儿科培训途径以来，从事初级保健工作的人员对项目相关性的满意度有所提高。结果表明，在初级保健项目中接受培训的住院医师对初级保健实践的投入更大。
