Berg D, Cerletty J, Byrd J C
Department of General Internal Medicine, Medical College of Wisconsin, Milwaukee.
J Gen Intern Med. 1993 Mar;8(3):143-5. doi: 10.1007/BF02599760.
The past decade has seen declining interest in primary care medicine and a dramatic increase in the cost of a medical degree. Seventy-nine percent of housestaff in an internal medicine residency program responded to a survey to determine whether medical school loan burden was related to career choice in a primary care field or specialty area. Overall mean indebtedness was $45,185 (median $40,000). Thirty-eight percent of residents with debts < $40,000 chose a career in primary care, compared with 10% with debts > $40,000 (chi square = 9.44, p < 0.01). Fourteen percent of those with debts < 40,000 and 59% with debts > $40,000 stated that financial conditions had a moderate to marked impact on their career decision making. Excessive loan burden has a significant influence on residents' career decision making and a negative influence on choosing careers in primary care internal medicine.
在过去十年中，人们对初级保健医学的兴趣有所下降，而医学学位的成本却大幅上升。在内科住院医师培训项目中，79%的住院医师参与了一项调查，以确定医学院的贷款负担是否与初级保健领域或专科领域的职业选择有关。总体平均债务为45,185美元（中位数为40,000美元）。债务低于40,000美元的住院医师中有38%选择了初级保健领域的职业，而债务高于40,000美元的住院医师中这一比例为10%（卡方检验=9.44，p<0.01）。债务低于40,000美元的人中有14%，债务高于40,000美元的人中有59%表示，经济状况对他们的职业决策有中度到显著的影响。过高的贷款负担对住院医师的职业决策有重大影响，对选择内科初级保健职业有负面影响。
