DeForge B R, Richardson J P, Stewart D L
Department of Psychiatry, University of Maryland School of Medicine.
Fam Med. 1993 Feb;25(2):111-3.
Senior medical students' interest in family practice as a career choice has declined in recent years.
A questionnaire about attitudes toward family practice was mailed to the 1990 graduating class at the University of Maryland (N = 143), and 84 completed questionnaires were returned (59% response rate).
Seniors believed that family practice was challenging (89%) and had intellectual content (integrity) comparable to other specialties (81%). Furthermore, students believed that family physicians provided comprehensive care (88%), were not replaceable by other health professionals (86%), and were able to keep abreast with technological medical advances (52%). However, only 4% of the graduating seniors selected family practice as a career. Most students believed that family practice lacked prestige (82%), and about one half (55%) believed that it was too broad in scope.
Lack of prestige, stressful life-style, difficulty in mastering medical knowledge, and poor potential income were the main reasons given by students for not selecting family practice.
近年来,高年级医学生将家庭医疗作为职业选择的兴趣有所下降。
一份关于对家庭医疗态度的问卷被邮寄给马里兰大学1990届毕业班(N = 143),共收回84份填好的问卷(回复率为59%)。
高年级学生认为家庭医疗具有挑战性(89%),且其知识含量(完整性)与其他专科相当(81%)。此外,学生们认为家庭医生提供全面护理(88%),不可被其他健康专业人员替代(86%),并且能够跟上医学技术进步(52%)。然而,只有4%的毕业班学生选择家庭医疗作为职业。大多数学生认为家庭医疗缺乏威望(82%),约一半(55%)的学生认为其范围太广。
学生们给出的不选择家庭医疗的主要原因是缺乏威望、生活方式压力大、难以掌握医学知识以及潜在收入低。