Taylor H A, Hansen G H
Family Practice Department, Naval Hospital, Jacksonville, Fla., USA.
Fam Med. 1997 Nov-Dec;29(10):709-14.
This study determined the perceived characteristics of family practice residency training programs that produce a high percentage of graduates who provide maternity care.
We surveyed a Delphi panel of 28 family practice maternity care experts.
Consensus was reached after the third survey. The characteristics of the family medicine faculty and teaching service were rated as most important. Other essential characteristics were an adequate obstetrical training volume; mutual respect between obstetric and family medicine faculty and residents; support for family practice maternity care from obstetricians, administration, and nursing staff; and family physicians being accepted in the community as maternity care providers.
Family practice residency programs that produce a high percentage of graduates who provide maternity care have a unique, family practice maternity care-friendly environment. Residency programs wishing to increase the percentage of their graduates who provide maternity care should ensure that their faculty support family practice maternity care, are competent in maternity care, and model maternity care in their own practices. They should strive to ensure an adequate volume of obstetrical cases for resident education and work toward educating patients and local obstetricians, nursing staff, and hospital administration regarding family practice maternity care.
本研究确定了那些培养出高比例提供产科护理毕业生的家庭医学住院医师培训项目的感知特征。
我们对一个由28名家庭医学产科护理专家组成的德尔菲小组进行了调查。
在第三次调查后达成了共识。家庭医学教员和教学服务的特征被评为最重要。其他重要特征包括足够的产科培训量；产科和家庭医学教员及住院医师之间的相互尊重；产科医生、行政人员和护理人员对家庭医学产科护理的支持；以及家庭医生在社区中被接受为产科护理提供者。
培养出高比例提供产科护理毕业生的家庭医学住院医师项目拥有独特的、对家庭医学产科护理友好的环境。希望提高其提供产科护理毕业生比例的住院医师项目应确保其教员支持家庭医学产科护理，具备产科护理能力，并在自己的实践中示范产科护理。他们应努力确保有足够数量的产科病例用于住院医师教育，并致力于就家庭医学产科护理对患者、当地产科医生、护理人员和医院行政人员进行教育。
