Leserman J
J Med Educ. 1980 May;55(5):415-22. doi: 10.1097/00001888-198005000-00005.
This paper is a report of the findings of a 1978 follow-up survey on senior medical students in North Carolina tracing changes in their professional orientations since their freshman year. The professional orientations concern four health care problem areas: physicians' relationship with patients, political and economic change in the medical profession, the treatment of women physicians and patients, and geographic and specialty maldistribution of physicians. Medical students generally become more conservative on political and economic issues in the profession and less committed to choosing a practice based on patient need. Although most seniors have maintained their desire to help people, they are more realistic about physicians' limitations than they were during their freshman year. Seniors have more definite opinions on issues concerning women physicians and patients, some becoming more sympathetic with women and some representing a conservative backlash.
本文是一份关于1978年对北卡罗来纳州高年级医学生进行的跟踪调查结果的报告，该调查追溯了他们自大学一年级以来职业取向的变化。职业取向涉及四个医疗保健问题领域：医生与患者的关系、医学职业中的政治和经济变化、女医生和女患者的治疗，以及医生的地理分布和专业分布不均。医学生在该职业的政治和经济问题上通常会变得更加保守，并且在根据患者需求选择执业方面的意愿降低。尽管大多数高年级学生仍保持着帮助他人的愿望，但他们比大学一年级时对医生的局限性更加现实。高年级学生对有关女医生和女患者的问题有更明确的看法，一些人对女性更同情，而另一些人则表现出保守的反弹。
