ADMISSION, RECRUITMENT, AND RETENTION - FINDING AND KEEPING THE GENERALIST-ORIENTED STUDENT

被引：36

作者：

LINZER, M

SLAVIN, T

MUTHA, S

TAKAYAMA, JI

BRANDA, L

VANEYCK, S

MCMURRAY, JE

RABINOWITZ, HK

机构：

[1] the Department of Medicine, University of Wisconsin School of Medicine, Madison, Wisconsin

[2] the Office of Primary Care Education and the Office of Admissions, Tufts University School of Medicine, Boston, Massachusetts

[3] the Robert Wood Johnson Clinical Scholars Program, Stanford University, Palo Alto, California

[4] the Department of Pediatrics, University of California, San Francisco, San Francisco, California

[5] the Programme for Faculty Development, Faculty of Health Services, McMaster University, Hamilton, Ontario

[6] the Dean's Office, University of Wisconsin School of Medicine, Madison, Wisconsin

[7] the Department of Family Medicine, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1994年 / 9卷 / 04期

关键词：

MEDICAL EDUCATION; MEDICAL SCHOOL; RESIDENCY TRAINING; PRIMARY CARE; GENERALIST;

D O I：

10.1007/BF02598114

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

As the country strives to produce larger numbers of generalist physicians, considerable controversy has arisen over whether or not generalist applicants can be identified, recruited, and influenced to keep a generalist-oriented commitment throughout medical training. The authors present new and existing data to show that: 1) preadmission (BA/MD or post-baccalaureate) programs can help to identify generalist-oriented students; 2) characteristics determined at admission to medical school are predictive of future generalist career choice; 3) current inpatient-oriented training programs strongly push students away from a primary care career; 4) women are more likely than men to choose generalist careers, primarily because of those careers' interpersonal orientation; and 5) residency training programs are able to select applicants likely to become generalists. Therefore, to produce more generalists, attempts should be made to encourage generalist-oriented students to enter medical schools and to revise curricula to focus on outpatient settings in which students can establish effective and satisfying relationships with patients. These strategies are most likely to be successful if enacted within the context of governmental and medical school-based changes that allow for more reimbursement and respect for the generalist disciplines.

引用

页码：S14 / S23

页数：10

共 15 条

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