Norris T E, Felmar E, Tolleson G
Department of Family Medicine, University of Washington, Seattle, USA.
Fam Med. 1997 Feb;29(2):99-104.
Family practice residencies lack clear guidelines defining which procedures should be included in their curricula. The American Academy of Family Physicians (AAFP) Task Force on Procedures developed a recommendation (approved by the AAFP Board of Directors) that can be used to create a set of procedures that should be taught in residencies. The task force recommendation is based on procedures taught in most family practice residencies and performed by most practicing family physicians.
The AAFP Task Force on Procedures surveyed all family practice residency programs and departments to determine which procedures they were teaching. The task force also surveyed a representative sample of practicing family physicians to find out which procedures they were performing.
Residency programs and departments returned 397 surveys (74.1% response), and the sample of 4,400 practicing physicians returned 2,028 surveys (46.1% response). The survey data identified 69 procedures as being taught in most family practice residencies, and 30 of these procedures as being performed by most practicing family physicians.
Many procedures can be identified as being taught in most family practice residencies or performed by most practicing family physicians. Fewer procedures are performed by practicing family physicians than are taught in residencies.
家庭医学住院医师培训缺乏明确的指南来界定其课程应涵盖哪些操作。美国家庭医师学会（AAFP）操作任务组制定了一项建议（经AAFP董事会批准），可用于创建一套应在住院医师培训中教授的操作项目。该任务组的建议基于大多数家庭医学住院医师培训中教授且大多数执业家庭医生所执行的操作。
AAFP操作任务组对所有家庭医学住院医师培训项目和科室进行了调查，以确定他们正在教授哪些操作。该任务组还对执业家庭医生的一个代表性样本进行了调查，以了解他们正在执行哪些操作。
住院医师培训项目和科室共返回了397份调查问卷（回复率为74.1%），4400名执业医生的样本返回了2028份调查问卷（回复率为46.1%）。调查数据确定了69项操作在大多数家庭医学住院医师培训中被教授，其中30项操作被大多数执业家庭医生执行。
许多操作可被确定为在大多数家庭医学住院医师培训中被教授或被大多数执业家庭医生执行。执业家庭医生执行的操作比住院医师培训中教授的操作要少。
