Elward K S, Goldstein A O, Ruffin M T
Department of Family Medicine, University of Virginia, Charlottesville.
Fam Med. 1994 Jun;26(6):376-81.
Family medicine fellowship training has increased in extent and diversity over the past 15 years. We conducted a national survey to study the present status of fellowship training in our discipline.
We surveyed all departments and divisions of family medicine in the United States as well as sources of other known training programs. Information was requested regarding type of fellowship, source of funding, location, benefits, curricula, degree programs, and positions offered and filled.
Data was obtained for 190 programs. Faculty development programs comprised the greatest proportion of fellowship programs (n = 45 or 24%) and positions (n = 129 or 33%), followed by geriatrics, sports medicine, and obstetrics. Programs with the highest fill rates were adolescent medicine (80%), substance abuse (75%), and obstetrics (74%). Faculty development, geriatrics, and sports medicine, with the largest number of fellowship positions, filled 35%, 54%, and 50% of available slots respectively. Duration, structure, and benefits of fellowship programs varied considerably.
Fellowship training in family medicine offers a wide variety of opportunities for career development, but this data suggests that there are areas in which special attention should be placed to facilitate the most appropriate advancement of fellowship training in our discipline.
在过去15年里，家庭医学专科培训在范围和多样性上都有所增加。我们开展了一项全国性调查，以研究本学科专科培训的现状。
我们对美国所有家庭医学系和部门以及其他已知培训项目的来源进行了调查。要求提供有关专科类型、资金来源、地点、福利、课程、学位项目以及提供和填补的职位等信息。
获得了190个项目的数据。师资发展项目在专科项目（n = 45或24%）和职位（n = 129或33%）中占比最大，其次是老年医学、运动医学和产科学。填充率最高的项目是青少年医学（80%）、药物滥用（75%）和产科学（74%）。师资发展、老年医学和运动医学的专科职位数量最多，分别填补了35%、54%和50%的可用名额。专科项目的时长、结构和福利差异很大。
家庭医学专科培训为职业发展提供了广泛的机会，但这些数据表明，在某些领域应给予特别关注，以促进本学科专科培训的最适当发展。
