Swain R, Ashley J
West Virginia University School of Medicine, Charleston Division, USA.
W V Med J. 1995 Mar-Apr;91(3):98-100.
Previous studies at several family practice residency programs in the U.S. have shown that many family practice graduates feel inadequately prepared to offer fracture care or casting. In order to determine if this was a problem in West Virginia, a survey was sent to all family physicians in the state which asked about their type of practice and residency training, if they provided fracture care or casting services, if they offered sports medicine coverage for teams in their communities, attitudes about their own competency in caring for fractures, as well as other personal and demographic data. Our survey confirmed that only 118 family physicians provide fracture care (42%), and that only 91 provide casting services (32%). The surveys also revealed that rural physicians feel obligated to offer this service, despite the fact that they do not perceive themselves to be very competent in this aspect of patient care, and only 43 rural physicians offer sports medicine coverage (44%). As a result of these findings, we propose that a more adequate orthopedic experience be a part of family practice training, and that there should also be increased emphasis on insuring family practice residents have a basic competency in sports medicine.
美国几个家庭医学住院医师培训项目之前的研究表明，许多家庭医学专业毕业生觉得自己在提供骨折护理或打石膏方面准备不足。为了确定这在西弗吉尼亚州是否是个问题，我们向该州所有家庭医生发放了一份调查问卷，询问他们的执业类型和住院医师培训情况，是否提供骨折护理或打石膏服务，是否为所在社区的运动队提供运动医学服务，对自己护理骨折的能力的看法，以及其他个人和人口统计学数据。我们的调查证实，只有118名家庭医生提供骨折护理（42%），只有91名提供打石膏服务（32%）。调查还显示，农村地区的医生觉得有义务提供这项服务，尽管他们认为自己在患者护理的这方面能力并不很强，而且只有43名农村医生提供运动医学服务（44%）。基于这些调查结果，我们建议，更充分的骨科经验应成为家庭医学培训的一部分，而且还应更加强调确保家庭医学住院医师具备运动医学方面的基本能力。
