Beasley J W
Department of Family Medicine and Practice, University of Wisconsin Medical School, Madison.
Fam Med. 1993 Mar;25(3):174-5.
Most educators feel that early instruction by family physician teachers increases the probability of students selecting family practice residencies.
To examine this hypothesis, a retrospective cohort study was performed to evaluate residency selection of students who received their second-year Introduction to Clinical Medicine (ICM) teaching either from family physicians or other specialists (most commonly, internists).
For the 971 students who could be followed to residency, 13.6% of those having family physicians as instructors and 15.7% of those having other specialists as instructors chose family practice residencies. The difference is not significant.
It is probable that the effect of having a family physician as a second-year ICM instructor is not significant enough to be detected by a study of this size and is simply "washed out" by other factors. It is also possible that no positive effect of second-year teaching by family physicians on residency selection exists.
大多数教育工作者认为，由家庭医生教师进行早期教学会增加学生选择家庭医学住院医师培训项目的可能性。
为检验这一假设，开展了一项回顾性队列研究，以评估接受第二年临床医学入门（ICM）教学的学生的住院医师培训项目选择情况，这些教学由家庭医生或其他专科医生（最常见的是内科医生）提供。
对于971名可追踪至住院医师培训阶段的学生，以家庭医生为授课教师的学生中有13.6%选择了家庭医学住院医师培训项目，以其他专科医生为授课教师的学生中有15.7%选择了该项目。差异不显著。
以家庭医生作为第二年ICM授课教师的影响可能不够显著，以至于无法在这样规模的研究中被检测到，而仅仅被其他因素“抵消”了。也有可能家庭医生第二年的教学对住院医师培训项目选择不存在积极影响。
