Bredfeldt R C, Thomas J M, Massie M
University of Arkansas for Medical Sciences, Fayetteville.
Fam Med. 1994 Mar;26(3):145-8.
The purpose of this study was to determine the effect of pregnancy care within family practice on medical students' choices of family practice as a career and to determine the effect the degree of emphasis on pregnancy care has on students' choices of specific residency programs.
Eight hundred and ten randomly selected student members of the American Academy of Family Physicians (AAFP) and 805 randomly chosen members of the American Medical Student Association (AMSA) were sent an 11-item survey that asked how their career (specialty) and specific residency program choice would be affected if family practice residencies included more (or less) training in pregnancy and delivery management.
Fifty-one percent of AAFP members and 37% of AMSA members would be less likely to enter family practice if pregnancy care was eliminated from the specialty. Six percent of AAFP members and 9% of AMSA members stated that they would be more likely to enter family practice if the specialty ceased this training. Students who plan to enter family practice favor a residency program with a stronger pregnancy care experience over a residency program with less emphasis on this training by a 10:1 ratio.
This study shows significant medical student interest in a high level of pregnancy care experience in family practice training programs.
本研究旨在确定家庭医疗中的孕期护理对医学生选择家庭医疗作为职业的影响，并确定对孕期护理的重视程度对学生选择特定住院医师培训项目的影响。
向随机抽取的810名美国家庭医师学会（AAFP）学生会员和805名随机挑选的美国医学生协会（AMSA）会员发送了一份包含11个问题的调查问卷，询问如果家庭医疗住院医师培训增加（或减少）妊娠和分娩管理方面的培训，他们的职业（专业）选择和特定住院医师培训项目的选择会受到怎样的影响。
如果该专业取消孕期护理，51%的AAFP会员和37%的AMSA会员选择进入家庭医疗领域的可能性会降低。6%的AAFP会员和9%的AMSA会员表示，如果该专业停止此项培训，他们更有可能进入家庭医疗领域。计划进入家庭医疗领域的学生倾向于选择孕期护理经验更丰富的住院医师培训项目，而不是对该培训重视程度较低的项目，比例为10:1。
本研究表明，医学生对家庭医疗培训项目中高水平的孕期护理经验有浓厚兴趣。
