Lindy J D, Green B L, Patrick M
Am J Psychiatry. 1980 Jan;137(1):76-9. doi: 10.1176/ajp.137.1.76.
A natural experiment in psychiatric education took place nationally between 1970 and 1976, when one group of residents entered psychiatry with an internship, and the other without one. In this study 22 psychiatry residents with an internship and 25 without one were compared during their first two years of training. Initial faculty evaluations of the two groups' responsibility, insight, teachability, and knowledge were virtually identical, as were those of their overall performance in inpatient, consultation, and emergency psychiatry. However, ratings of outpatient psychotherapy showed several significant and differences favoring the noninternship group. The authors find these results disquieting. They suggest that interferences with empathy may be an untoward side effect of the internship.
1970年至1976年间，一场精神病学教育领域的自然实验在全国范围内展开，当时一组住院医生进入精神病学领域时已有实习经历，另一组则没有。在这项研究中，对22名有实习经历和25名没有实习经历的精神病学住院医生在培训的头两年进行了比较。两组在责任、洞察力、可教性和知识方面的初始教员评估几乎相同，他们在住院、会诊和急诊精神病学方面的总体表现评估也是如此。然而，门诊心理治疗的评分显示出一些显著差异，有利于没有实习经历的那一组。作者认为这些结果令人不安。他们指出，对同理心的干扰可能是实习产生的一种不良副作用。
