Basco W T, Buchbinder S B, Duggan A K, Wilson M H
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Acad Med. 1998 Nov;73(11):1207-10. doi: 10.1097/00001888-199811000-00021.
To assess associations of primary-care-oriented medical school admission practices with matriculants practice intentions.
The authors performed cross-sectional, secondary analyses of databases from the Association of American Medical Colleges (AAMC). The independent variables were four medical school admission practices. The control variable was school ownership (public vs private). The dependent variables were the proportions of matriculants at each school interested in generalism, rural practice, and locating in a socioeconomically deprived area.
One hundred and twenty medical schools (95%) completed the AAMC's Survey of Generalist Physician Initiatives in either 1993 or 1994; 94% of matriculants replied to the AAMC's 1994 Matriculating Student Questionnaire. Twenty-five percent of the schools had admission committee chairs who were generalists, half had over 25% generalists on their admission committees, 64% gave admission preference to students likely to become generalists, and 33% reported premedical recruitment efforts that targeted applicants likely to become generalists. In multivariable analyses, premedical recruitment efforts and public school ownership (all p < .01) were associated with greater interest of matriculants in both generalism and rural practice.
Public medical schools and schools with premedical recruitment activities targeting future generalists admitted greater proportions of students interested in primary care and rural practice.
评估以初级保健为导向的医学院录取方式与录取学生的执业意向之间的关联。
作者对美国医学院协会（AAMC）数据库进行了横断面二次分析。自变量为四种医学院录取方式。控制变量为学校所有权（公立与私立）。因变量为各学校对全科医学、农村执业以及在社会经济贫困地区执业感兴趣的录取学生比例。
120所医学院（95%）在1993年或1994年完成了AAMC的全科医生倡议调查；94%的录取学生回复了AAMC 1994年的录取学生问卷。25%的学校录取委员会主席是全科医生，一半学校的录取委员会中全科医生比例超过25%，64%的学校优先录取可能成为全科医生的学生，33%的学校报告了针对可能成为全科医生的申请者的医学预科招生工作。在多变量分析中，医学预科招生工作和公立学校所有权（均p <.01）与录取学生对全科医学和农村执业的更大兴趣相关。
公立医学院以及开展针对未来全科医生的医学预科招生活动的学校录取了更大比例对初级保健和农村执业感兴趣的学生。
