Haviland M G, Werner L S, Behrens B L, Killian C D
Department of Psychiatry, Loma Linda University School of Medicine, CA 92350, USA.
Acad Med. 1995 Apr;70(4):298-304. doi: 10.1097/00001888-199504000-00013.
The purpose of the present study was to evaluate primary care outcomes for the Loma Linda University School of Medicine (LLUSM), using Association of American Medical Colleges (AAMC) data files. The two principal objectives were to estimate the percentages of LLUSM graduates who are practicing or will practice primary care medicine and to determine what information available on application to LLUSM is useful in predicting graduates' specialty choices (i.e., primary versus non-primary care).
In 1993-94 data were taken from several AAMC data files (available to all medical schools), including the Graduate Medical Education (GME) Tracking Census and the American Medical College Application Service (AMCAS) Applicant Master File. The second and fourth years after graduation were used as points of evaluation. Primary care (generalist) was defined as taking or having completed a residency in family practice, internal medicine, or pediatrics, and not having taken any fellowship training.
Fourth year after graduation: 42.4% of the 1,064 LLUSM graduates (1983 to 1990) were training in or had completed residencies in family practice (19.8%), internal medicine (16.2%), or pediatrics (6.4%). Second year of GME: of the 1,365 LLUSM graduates (1983 to 1992), 49.3% were in the primary care pipeline (19.8% in family practice, 21.9% in internal medicine, and 7.6% in pediatrics). Two variables available on admission to medical school were associated with being in the primary care pipeline (second-year GME generalist): being a woman and being a member of a non-underrepresented minority. One variable was associated with being in the non-primary care pipeline: having a rural county code. Undergraduate grades and Medical College Admission Test scores were not good predictors.
The AAMC data files, available to all medical schools, are useful for estimating and evaluating primary care outcomes.
本研究旨在利用美国医学院协会（AAMC）的数据文件，评估洛马林达大学医学院（LLUSM）的初级保健成果。两个主要目标是估计正在从事或将要从事初级保健医学的LLUSM毕业生的百分比，并确定LLUSM入学申请中可用的哪些信息有助于预测毕业生的专业选择（即初级保健与非初级保健）。
1993 - 1994年的数据取自几个AAMC数据文件（所有医学院均可获取），包括研究生医学教育（GME）跟踪普查和美国医学院申请服务（AMCAS）申请人主文件。毕业后的第二年和第四年用作评估点。初级保健（全科医生）定义为正在接受或已完成家庭医学、内科或儿科住院医师培训，且未接受任何专科培训。
毕业后第四年：1983年至1990年的1064名LLUSM毕业生中，42.4%正在接受或已完成家庭医学（19.8%）、内科（16.2%）或儿科（6.4%）的住院医师培训。GME第二年：1983年至1992年的1365名LLUSM毕业生中，49.3%正在接受初级保健培训（家庭医学19.8%，内科21.9%，儿科7.6%）。医学院入学时可用的两个变量与正在接受初级保健培训（GME第二年全科医生）相关：女性和非代表性不足少数群体成员。一个变量与正在接受非初级保健培训相关：拥有农村县代码。本科成绩和医学院入学考试分数不是很好的预测指标。
所有医学院均可获取的AAMC数据文件，有助于估计和评估初级保健成果。
