Stimmel B
Mount Sinai School of Medicine of The City University of New York, NY 10029, USA.
Mt Sinai J Med. 1996 Jan;63(1):49-59.
It is commonly believed that there is a surplus of specialists in this country as well as a deficit of primary care physicians. To remedy this, pressure has been exerted on medical schools to change their curriculum and to specifically assure that at least 50% of all graduates will enter primary care careers. The data, however, suggest that although we have an excess of specialists, there is no deficit of primary care physicians. Changes that are occurring in the medical marketplace have already resulted in more residents entering primary care fields independent of curricular changes. The training of both medical students and residents, however, must be revised to prepare physicians for the practice of medicine in today's economy. These changes should be fueled by the desire to produce as well trained a physician as possible, rather than a responsibility to graduate specific numbers of primary care physicians.
人们普遍认为，这个国家专科医生过剩，而初级保健医生短缺。为了纠正这种情况，已向医学院施加压力，要求其改变课程设置，并特别确保所有毕业生中至少有50%将从事初级保健工作。然而，数据表明，尽管我们的专科医生过剩，但初级保健医生并不短缺。医疗市场正在发生的变化已经导致更多住院医师独立于课程变化而进入初级保健领域。然而，医学生和住院医师的培训都必须进行修订，以使医生为在当今经济环境中行医做好准备。这些变革的动力应该是培养尽可能训练有素的医生的愿望，而不是培养特定数量初级保健医生的责任。
