Price M, Phillips C I
Br Med J. 1976 Aug 28;2(6034):509-11. doi: 10.1136/bmj.2.6034.509.
After a short period of intensive training, a general practitioner successfully replaced a senior house officer (SHO) in the accident and emergency department of an eye hospital on one morning a week for a year. An unbiased observer compared the performance of the general practitioner after one year with that of a full-time SHO who had had 17 months' experience; their performances were about equal. Although a sessional general practitioner costs about 28% more than an SHO, the real cost is much less because undue length of service as an SHO or change to another specialty (because of the SHO surplus) delays achievement of a permanent grade. Continuity is a great advantage of the general practitioner. Replacement of some SHOs by general practitioners would reduce the surplus of SHOs with poor promotion prospects. The commonest diagnoses were Meibomian cysts (18%), corneal foreign bodies (20%), corneal abrasions (12%), and conjunctivitis (8%).
经过短期强化培训后，一名全科医生在一年时间里每周有一个上午成功替代了眼科医院急诊科的一名高级住院医师（SHO）。一位公正的观察者将该全科医生一年后的表现与一名有17个月经验的全职高级住院医师的表现进行了比较；他们的表现大致相当。虽然兼职全科医生的成本比高级住院医师高出约28%，但实际成本要低得多，因为高级住院医师服务时间过长或因高级住院医师过剩而转至其他专科会延迟获得永久职级。连续性是全科医生的一大优势。用全科医生替代一些高级住院医师将减少晋升前景不佳的高级住院医师过剩的情况。最常见的诊断是睑板腺囊肿（18%）、角膜异物（20%）、角膜擦伤（12%）和结膜炎（8%）。
