Yen E Y, Dowling P T, Liu I, Lee E
Department of Family Medicine, Harbor-UCLA Family Health Center, Torrance, USA.
Fam Med. 1997 Mar;29(3):199-203.
The Harbor-UCLA Family Practice Residency Program has offered a year-long primary care continuity clinic experience to first-year obstetrics-gynecology (OB-GYN) residents since July 1994. This paper describes the teaching programs and compares the experience of the OB-GYN residents to that of family practice (FP) residents in the same clinic site.
OB-GYN residents worked in the family medicine teaching clinic for a half day each week for the entire year. The teaching program was evaluated with a questionnaire and interviews of OB-GYN residents to obtain their opinions on the value of this teaching modality. A review of clinic schedules and medical records compared the practice profiles of six OB-GYN residents with six matched FP residents.
Five out of six OB-GYN residents felt that the educational objective of improving primary care skills was achieved. Half of them were pleased about their relationships with the family medicine faculty; the remainder reported being treated as second-class citizens. Patient volume and the diagnosis encountered were similar between the OB-GYN residents and the FP residents.
Evaluation of the primary care continuity clinic experience for OB-GYN residents through questionnaires, interviews, and medical records analysis revealed the acceptability, feasibility, and appropriateness of this teaching program for OB-GYN residents. However, not all OB-GYN residents were happy about their relationships with the family medicine faculty. The long-term effectiveness of the experience needs further study.
自1994年7月起，哈伯-加州大学洛杉矶分校家庭医学住院医师培训项目为一年级妇产科住院医师提供为期一年的初级保健连续性门诊实习经历。本文介绍了教学项目，并将妇产科住院医师与同一门诊地点的家庭医学住院医师的经历进行了比较。
妇产科住院医师全年每周在家庭医学教学门诊工作半天。通过问卷调查和对妇产科住院医师的访谈对教学项目进行评估，以了解他们对这种教学方式价值的看法。对门诊时间表和病历进行回顾，比较了6名妇产科住院医师与6名匹配的家庭医学住院医师的执业情况。
六分之五的妇产科住院医师认为提高初级保健技能的教育目标得以实现。其中一半人对他们与家庭医学教员的关系感到满意；其余的人则称自己被当作二等公民对待。妇产科住院医师和家庭医学住院医师的患者数量和诊断情况相似。
通过问卷调查、访谈和病历分析对妇产科住院医师的初级保健连续性门诊实习经历进行评估，结果显示该教学项目对妇产科住院医师具有可接受性、可行性和适宜性。然而，并非所有妇产科住院医师都对他们与家庭医学教员的关系感到满意。这种经历的长期效果需要进一步研究。
