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Fellowship or Further Training for Family Medicine Residents?

机译：家庭医学居民的奖学金或进一步培训？

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The breadth of family medicine (FM) generates debate about the length of residency training. One argument used by proponents for lengthening training is that residents feel unprepared for practice. The objectives of our study were to (1) identify the proportion of FM residency graduates intending to pursue fellowship training and those who would have done an additional year of core residency training had it been available, and (2) determine whether an association exists between these two variables. Methods: We used data collected by the American Board of Family Medicine (ABFM) as part of resident certification examination application in 2014 and 2015. Data included fellowship intention, and interest in pursuing another year of residency training if it were available. We used descriptive and bivariate statistics. Results: The questionnaire was completed by 6,235 residents, of which 17.0% (n=1,063) intended to enroll in a fellowship. Overall 54.2% of residents were “not at all likely” to extend residency training, with 19.9% “extremely/moderately likely”. Forty-six percent of those intending a fellowship were “not at all likely” to extend training and only 29% of those “extremely/moderately likely” to extend residency training intended to enroll in a fellowship. Conclusions: We found a disconnect between fellowship intention and desire for another year of residency training. Desire for fellowship may be more about obtaining specific skills and expertise or additional certifications, and less about being prepared for general practice in family medicine.
机译：家庭医学（FM）的广度引发了有关住院培训时间长短的争论。支持者用来延长培训时间的一种论点是，居民感到自己对练习没有准备。我们研究的目的是（1）确定打算进行进修培训的FM住院医师毕业生和如果可能再接受一年核心住院医师培训的毕业生比例，以及（2）确定是否存在以下关联：这两个变量。方法：我们使用美国家庭医学委员会（ABFM）收集的数据作为2014年和2015年居民证明考试申请的一部分。数据包括奖学金意向和对继续进行一年居住权培训的兴趣（如果有）。我们使用描述性和双变量统计。结果：问卷由6,235名居民完成，其中17.0％（n = 1,063）打算加入研究金。总体上，有54.2％的居民“根本不可能”进行居留培训，而19.9％的居民“极有/中有可能”。有意申请奖学金的人中有46％“根本不可能”扩大培训，而打算“有/中等可能性”的居民中只有29％有意参加奖学金的居民培训。结论：我们发现团契意图和对另一年居住培训的渴望之间存在脱节。对团契的渴望可能更多地是关于获得特定技能和专门知识或额外的认证，而更少地是为家庭医学的一般实践做好准备。

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