Dannenberg A L, Salive M E, Forston S R, Ring A R, Hersey J C, Parkinson M D
Preventive Medicine Residency Program, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD.
Am J Prev Med. 1994 Sep-Oct;10(5):251-8.
In 1991, a mail survey was conducted of graduates (1979-1989) of general preventive medicine/public health (GPM/PH) residency programs to obtain information about the graduates' demographic characteristics, training, and present professional work. Specifically, we evaluated the survey data for percentage of graduates with board certification, advantages of board certification, and barriers to board certification in preventive medicine (PM). The survey response rate was 74% (797 of 1,070 graduates). Only 45% of the respondents were board certified in PM as of 1991. The percentage of respondents board certified in PM was highest among military PM residency graduates and lowest among those from the Centers for Disease Control (CDC) PM residency. Reasons for not taking the board examination included the perception of limited benefit of board certification in current employment or professional endeavors, previous board certification in a clinical specialty, lack of a master of public health (MPH) degree, high cost and time commitment for the examination, and uncertainty about examination admission requirements. PM residency graduates with board certification in PM were more likely to be involved in public health and preventive medicine programs, devoted more time to administration and management, and earned more income than those PM residency graduates without PM board certification. Increasing the percentage of residency graduates who pursue PM board certification will require increasing the advantages of certification for practice, encouraging all residents to identify themselves as practicing the specialty of PM, and addressing the unique concerns of physicians who train both in PM and in a purely or primarily clinical specialty.
1991年，我们对普通预防医学/公共卫生（GPM/PH）住院医师培训项目的毕业生（1979 - 1989年毕业）进行了一项邮件调查，以获取有关毕业生的人口统计学特征、培训情况及当前专业工作的信息。具体而言，我们评估了调查数据中获得委员会认证的毕业生百分比、委员会认证的优势以及预防医学（PM）委员会认证的障碍。调查回复率为74%（1070名毕业生中的797人）。截至1991年，只有45%的受访者获得了预防医学委员会认证。在军事预防医学住院医师毕业生中，获得预防医学委员会认证的受访者百分比最高，而在疾病控制中心（CDC）预防医学住院医师毕业生中最低。不参加委员会考试的原因包括认为委员会认证在当前工作或专业活动中的益处有限、之前已获得临床专科的委员会认证、缺乏公共卫生硕士（MPH）学位、考试成本高且耗时、以及对考试入学要求不确定。与未获得预防医学委员会认证的住院医师毕业生相比，获得预防医学委员会认证的住院医师毕业生更有可能参与公共卫生和预防医学项目，投入更多时间进行行政管理，且收入更高。提高追求预防医学委员会认证的住院医师毕业生百分比，将需要增加认证在实践中的优势，鼓励所有住院医师将自己视为从事预防医学专业，以及解决同时接受预防医学和纯临床或主要临床专科培训的医生的独特担忧。
