Kebede R, Balint J, Pruzek R, Kremer S
Albany Medical College, New York, USA.
Acad Med. 1995 Aug;70(8):723-5. doi: 10.1097/00001888-199508000-00017.
To analyze the difference, if any, in the choices of primary care versus other specialty practices among graduates of the Albany Medical College who took one of three career pathways before entering medical school and who had entered primary care residencies.
Questionnaires were mailed in April 1992 to all 458 graduates from the classes of 1980 through 1985 who had entered primary care residencies (i.e., residencies in family practice, general internal medicine, general pediatrics, or medicine--pediatrics). The graduates had followed one of three pathways to admission: (1) after completion of four years of college, (2) after completion of the six-year biomedical program in conjunction with the Rensselaer Polytechnic Institute (RPI), and (3) after having pursued a nonmedical career and being older than 25 years of age. Logistics regression was the primary vehicle for analysis, defining career choice as the dependent variable and using the independent variables of sex, year of graduation, and pathway as well as their interactions for a saturated-model analysis.
A total of 318 graduates (69%) responded. Among the three pathways, there was no statistically significant difference in the choices of primary care versus other specialty practices. However, in the RPI and age-greater-than-25 groups, there was a greater tendency for men to choose other specialties.
The three career pathways before medical school did not appear to have a role in the choice of primary care versus other specialty practices among graduates who had entered primary care residencies. However, gender did influence this choice.
分析奥尔巴尼医学院的毕业生在进入医学院之前选择了三条职业道路之一并已进入初级保健住院医师项目后，在选择初级保健与其他专科实践方面是否存在差异（若有）。
1992年4月，向1980年至1985年入学且已进入初级保健住院医师项目（即家庭医学、普通内科、普通儿科或医学 - 儿科住院医师项目）的所有458名毕业生邮寄了调查问卷。这些毕业生通过以下三条途径之一入学：（1）完成四年大学学业后；（2）完成与伦斯勒理工学院（RPI）联合开展的六年生物医学项目后；（3）从事非医学职业且年龄超过25岁后。逻辑回归是主要的分析方法，将职业选择定义为因变量，并使用性别、毕业年份、途径及其相互作用作为自变量进行饱和模型分析。
共有318名毕业生（69%）回复。在这三条途径中，选择初级保健与其他专科实践之间没有统计学上的显著差异。然而，在RPI组和年龄大于25岁的组中，男性选择其他专科的倾向更大。
医学院之前的三条职业道路似乎对已进入初级保健住院医师项目的毕业生在选择初级保健与其他专科实践方面没有影响。然而，性别确实会影响这一选择。
