Brotzman G L, Mark D H, Wolkomir M S
Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, USA.
Fam Med. 1995 May;27(5):310-3.
Colposcopy and related therapeutic modalities are taught in many family practice residency programs. The role of the following two factors in a family practice residency program's decision to teach these procedures was evaluated: 1) the coexistence of an obstetrics and gynecology (OB-GYN) residency program at the affiliated hospital and 2) the perceived attitude of community obstetrician-gynecologists toward family physicians performing the procedures.
In 1993, all 399 accredited family practice residency programs were surveyed, with a response rate of 86.5%.
Ninety-three percent of responding programs taught colposcopy. All programs that rated community obstetrician-gynecologists' attitudes as positive taught colposcopy, and 91% taught cryotherapy. In programs rating local obstetrician-gynecologists' attitudes as negative, 85.5% taught colposcopy, and 71% taught cryotherapy. A co-located OB-GYN program did not influence a family practice program's likelihood of teaching colposcopy or treatment modalities.
A perception that community obstetrician-gynecologists have negative attitudes about family physicians performing colposcopy may dissuade some family practice programs from teaching colposcopy and related treatment modalities. This influence was not seen in programs with a co-located OB-GYN residency.
许多家庭医学住院医师培训项目都教授阴道镜检查及相关治疗方法。本研究评估了以下两个因素在家庭医学住院医师培训项目决定是否教授这些操作中的作用：1）附属医院是否设有妇产科住院医师培训项目；2）社区妇产科医生对家庭医生实施这些操作的看法。
1993年，对所有399个经认可的家庭医学住院医师培训项目进行了调查，回复率为86.5%。
93%的回复项目教授阴道镜检查。所有将社区妇产科医生态度评为积极的项目都教授阴道镜检查，91%的项目教授冷冻疗法。在将当地妇产科医生态度评为消极的项目中，85.5%的项目教授阴道镜检查，71%的项目教授冷冻疗法。同在一处的妇产科住院医师培训项目并未影响家庭医学项目教授阴道镜检查或治疗方法的可能性。
认为社区妇产科医生对家庭医生实施阴道镜检查持消极态度，可能会使一些家庭医学项目不愿教授阴道镜检查及相关治疗方法。在设有同在一处的妇产科住院医师培训项目的情况下，未发现这种影响。
