RESUMEN
Between June 30, 1973, and June 30, 1980, 100 family physicians completed their family practice residency training at the University of Wisconsin Medical School. Ninety-seven graduates completed an extensive 13-page mail survey. The primary purposes of the study were to measure the adequacy of the graduate's residency training program and to determine how well the graduates have done as family physicians. A majority of respondents considered themselves adequately prepared in most areas listed with a few noticeable exceptions. For example, 50 percent or more felt underprepared in fracture care, emergency surgery, and applying forceps for vaginal deliveries. For selected administrative and financial aspects of a practice, more than 60 percent felt underprepared. In general, the graduates were satisfied with the potential for practice growth as well as their current level of income. Regarding hospital privileges, between 85 and 93 percent of the graduates were very satisfied with the availability and extent of their privileges. Finally, all 100 graduates are board certified in family practice and at this writing none have changed into another specialty or intend to do so in the foreseeable future.
Asunto(s)
Actitud del Personal de Salud , Medicina Familiar y Comunitaria/educación , Internado y Residencia/normas , Facultades de Medicina , Acreditación , Competencia Clínica , Curriculum , Femenino , Humanos , Renta , Masculino , Privilegios del Cuerpo Médico , Satisfacción Personal , Administración de la Práctica Médica , Facultades de Medicina/normas , WisconsinRESUMEN
Previous studies of the content of family practice have analyzed the discipline in terms of the clinical problem content. Taking a different approach, a study group analyzed the care given to patients by family physicians irrespective of the specific clinical problems. Working with a reference group of family physicians in private practice, ten central elements were identified: (1) comprehensiveness of care, (2) anticipation of problems and continuity of care, (3) personal relationships with a patient, (4) medical knowledge and skills characteristic of family medicine, (5) values and attitudes that enhance family medicine, (6) problem definition and medical decision making, (7) problem management and resource coordination, (8) care of the individual within the family context, (9) involvement with the community, and (10) attentiveness to practice organization. This study provides a different point of departure for the design and evaluation of educational programs in family practice.