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All primary care trainees are not the same: the role of economic factors and career choice.

机译:所有初级保健实习生都不一样:经济因素和职业选择的作用。

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摘要

Historically, the specialties classified as "primary care" have been pediatrics, internal medicine, and family medicine. Often, primary care disciplines are aggregated in workforce or career-preference studies, and any differences among them are not assessed or reported. However, such aggregation is likely unwarranted and may actually lead to false or misguided policy direction in the name of "primary care disciplines" when, in fact, there may be substantive differences among these specialties. We examine here the data available to assess whether the physicians who make up 2 of the primary care specialties are necessarily the same with regard to their perspectives on the economic aspects of medicine in general, or their own personal economic preferences regarding career choice in particular. Recent research has demonstrated that there are substantive differences among internal medicine trainees and pediatric trainees. As such, we must be cautious when using data from 1 primary care specialty to suggest structural and/or policy changes regarding the economic structure of training for the others.
机译:从历史上看,归类为“初级保健”的专科是儿科,内科和家庭医学。通常,基层医疗学科是在劳动力或职业偏好研究中汇总的,它们之间的任何差异都不会得到评估或报告。但是,这种聚集可能是不必要的,并且实际上在这些专业之间可能存在实质性差异时,实际上可能以“初级保健学科”的名义导致错误或错误的政策方向。我们在这里检查可用的数据,以评估构成两个初级保健专科的医师在医学整体经济方面的观点或他们在职业选择方面的个人经济偏好方面是否一定相同。最近的研究表明,内科实习生和儿科实习生之间存在实质性差异。因此,在使用来自1个初级保健专业的数据来建议有关其他培训的经济结构的结构和/或政策变化时,我们必须谨慎。

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