The reported value of rural internal medicine residency electives and factors that influence rural career choice.
The reported value of rural internal medicine residency electives and factors that influence rural career choice.
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农村内科住院医师选修课的报告价值及影响农村职业选择的因素。
作者：
Christine C. Jensen;D. DeWitt
本研究探讨乡村选修课如何影响住院医师对乡村医疗的看法，以及哪些因素鼓励或阻碍了他们选择乡村医疗。参与者在一个一到两个月的农村选修和随机选择的非参与者匹配组进行了调查。70%的选修课参与者（n = 58）和61%的匹配的非参与者（n = 51）完成了问卷调查。使用t检验、卡方检验和Mann-Whitney U检验分析各组对量表反应测量和开放式问题的反应。大多数参与者表示，选修课是一个有益的经验（n = 36），和参与者的兴趣在农村实践选修课后显着增加。选修的参与者比非参与者更有可能看到实践的广度，护理的连续性，农村地区的生活质量，以及与导师的经验，鼓励农村实践。选举参与并没有明显增加农村职业选择，虽然这一发现可能是由于样本量小。受访者确定了鼓励农村实践的方法，以及农村实践的障碍：选修课参与者建议，如果选修课在医疗培训中发生得更早，持续时间更长，并满足配偶或伴侣的需求，可能会更有效。概括性受到几个因素的限制，包括样本量小以及选修课参与者和非参与者之间可能存在差异。
This study examines how rural electives affect medical residents' opinions about rural practice and which factors encourage or discourage choice of rural practice. Participants in a one- to two-month rural elective and a matched group of randomly selected nonparticipants were surveyed. Seventy percent of the elective participants (n = 58) and 61% of the matched nonparticipants (n = 51) completed the questionnaire. The groups' responses to scaled response measures and open-ended questions were analyzed using t , chi-square and Mann-Whitney U tests. A majority of participants stated that the elective was a beneficial experience (n = 36), and participants' interest in rural practice increased significantly after the elective. Elective participants were more likely than nonparticipants to see breadth of practice, continuity of care, quality of life in rural areas, and experiences with mentors as encouraging rural practice. Elective participation did not demonstrably increase rural career choice, although this finding may be attributable to small sample size. Respondents identified means to encourage rural practice, as well as barriers to rural practice: Elective participants suggested that electives may be more effective if they occurred earlier in medical training, lasted for longer periods of time, and addressed the needs of spouses or partners. Generalizability is limited by several factors, including small sample size and the possibility of pre-existing differences between elective participants and nonparticipants.