Miller K E, Fox B C, Mitchell G L
Department of Family Medicine, Ohio State University, Columbus, USA.
Fam Med. 1996 Jan;28(1):33-8.
Many studies have attempted to determine what factors influence medical students' career selections. This study determined students' perceptions of family practice, examined what variables influenced these perceptions, and measured whether medical students' perceptions were similar to or different from those of practicing family physicians.
The two populations studied were students sampled at an Ohio medical school over the first 3 years of their training and a random sample of Ohio family physicians. Each subject was asked to complete a questionnaire that asked about perceptions of family practice and demographic information.
A total of 719 (69%) students and 295 (59%) family physicians responded to the survey. Sixty-seven percent of the physician responders were actively involved in medical student teaching. More than 94% of the students had exposure to family physicians during their preclinical education. Students' perceptions were different than physicians' perceptions about lifestyle issues, patient care, and practice characteristics; over time, these approached the physicians' perceptions. However, the perceptions of family physicians and students about professional issues were similar.
Medical students and family physicians have different perceptions about family practice. Students' perceptions become similar to physicians' perceptions as they progress through the educational system, while, at the same time, their interest in family practice declines.
许多研究试图确定哪些因素会影响医学生的职业选择。本研究确定了学生对家庭医疗的看法，考察了哪些变量影响了这些看法，并衡量了医学生的看法与执业家庭医生的看法是相似还是不同。
研究的两个人群分别是俄亥俄州一所医学院前三年培训中的抽样学生和俄亥俄州家庭医生的随机样本。要求每个受试者完成一份问卷，询问对家庭医疗的看法和人口统计学信息。
共有719名（69%）学生和295名（59%）家庭医生回复了调查。67%的医生回复者积极参与医学生教学。超过94%的学生在临床前教育期间接触过家庭医生。学生对生活方式问题、患者护理和执业特点的看法与医生不同；随着时间的推移，这些看法接近医生的看法。然而，家庭医生和学生对专业问题的看法相似。
医学生和家庭医生对家庭医疗有不同的看法。随着学生在教育体系中的进步，他们的看法变得与医生相似，与此同时，他们对家庭医疗的兴趣下降。
