Schubiner H, Schuster B, Moncrease A, Mosca C
Department of Pediatrics, Wayne State University, Detroit, MI.
Am J Dis Child. 1993 Aug;147(8):885-9. doi: 10.1001/archpedi.1993.02160320087024.
To gather information from combined internal medicine-pediatric residents about their application process for residency, their perceptions of the stressors during residency, and their future plans.
Survey of all combined internal medicine-pediatric residents-in-training in the 1989-1990 academic year.
Fifty-four percent of residents-in-training responded to the survey, representing 70% of the programs.
Combined residents often investigate and rank other generalist residences. However, internal medicine is significantly (P < .005) considered more often than pediatrics or family medicine. Sixty percent of combined residents do not anticipate further training beyond the 4 years and expect to practice both specialties. The majority of those interested in a subspecialty expect to continue to combine internal medicine and pediatrics in their subspecialty practice. Switching services during the residency engenders stress. Factors that decrease stress include more frequent switches and increasing seniority. Switching from pediatrics to internal medicine is more stressful (P < .0001) than switching to pediatrics from internal medicine. The residents considered ambulatory training sites and a specific coordinator for the program to be the most important features of the residency.
Combined internal medicine-pediatric programs continue to attract a small cohort of well-qualified US medical school graduates, the majority of whom intend to practice as generalists in both pediatrics and internal medicine.
收集内科 - 儿科联合住院医师关于其住院医师申请过程、对住院医师培训期间压力源的看法以及他们未来计划的信息。
对1989 - 1990学年所有内科 - 儿科联合住院医师培训学员进行调查。
54%的住院医师培训学员回复了调查，占项目的70%。
联合住院医师经常调查并对其他全科住院医师项目进行排名。然而，相较于儿科或家庭医学，内科被显著（P <.005）更多地考虑。60%的联合住院医师预计在4年培训期后不再接受进一步培训，并期望同时从事这两个专科的工作。大多数对亚专科感兴趣的人期望在亚专科实践中继续结合内科和儿科。住院医师培训期间换科室会产生压力。减轻压力的因素包括更频繁的换科室和资历的增加。从儿科换到内科比从内科换到儿科压力更大（P <.0001）。住院医师认为门诊培训地点和项目的特定协调员是住院医师培训中最重要的特征。
内科 - 儿科联合项目继续吸引一小批资质良好的美国医学院毕业生，其中大多数人打算同时从事儿科和内科的全科医疗工作。
