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Rural-Urban and Gender Differences in Procedures Performed by Family Practice Residency Graduates

机译：家庭实习驻留毕业生在程序上的城乡差异和性别差异

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OBJECTIVE: We compared the types of procedures performed and obstetrical care provided by family practice residency graduates, by practice location and physician gender. METHODS: We conducted a cross-sectional questionnaire survey of 702 graduates who completed family practice residency programs in Alberta, Canada, from 1985 to 1995, inclusive. Graduates were asked to indicate which of 28 procedures and 7 obstetrical care practices they performed. The data were analyzed by gender and current practice location. RESULTS: A total of 442 (63%) of the graduates responded to the survey. The top five procedures performed by family practice graduates were minor office surgery, foreign body removal (eye), joint aspiration, joint injection, and anterior nasal packing. There was a declining trend in the number of procedures performed by family practice graduates from rural, to regional, to metropolitan areas. Relatively more males performed procedures; however, more females did IUD insertion and obstetrical care practice. Except for a few exceptions, a similar proportion of male and female graduates in rural practice performed procedures. CONCLUSIONS: The procedural and obstetrical care pattern of practice differs between family practice graduates in rural and urban areas, as well as between male and female graduates. Family practice residency programs should consider additional training in procedural skills for those planning to practice in rural areas, as well as encourage females to become skilled at performing procedures relevant to family practice.
机译：目的：我们按家庭所在地和医师性别比较了家庭实习住院医师应提供的程序类型和产科护理。方法：我们对1985年至1995年（含）在加拿大艾伯塔省完成家庭实习居住计划的702名毕业生进行了横断面问卷调查。要求毕业生指出他们执行了28种程序和7种产科护理实践中的哪一种。数据按性别和当前工作地点进行了分析。结果：共有442名（63％）毕业生对此调查做出了回应。家庭实习毕业生执行的前五项程序是小型办公室手术，去除异物（眼），联合抽吸，联合注射和鼻前填充。从农村到地区到大城市地区的家庭实践毕业生所执行的程序数量呈下降趋势。相对而言，男性进行手术的比例更高;但是，有更多的女性进行宫内节育器插入和产科护理。除少数例外，农村实践中男女毕业生的比例相似。结论：农村和城市地区的家庭实践毕业生以及男性和女性毕业生的实践程序和产科护理模式是不同的。家庭实践居住计划应考虑为计划在农村地区实践的人们提供程序技能方面的额外培训，并鼓励女性熟练执行与家庭实践相关的程序。

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