RESIDENCY EDUCATION IN THE NURSING-HOME - A NATIONAL SURVEY OF INTERNAL-MEDICINE AND FAMILY-PRACTICE PROGRAMS

被引：20
作者：
KATZ, PR
KARUZA, J
HALL, N
机构：
[1] The Division of Geriatrics/Gerontology, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, New York
[2] Veterans Administration Medical Center, Buffalo, New York
[3] State University of New York College at Buffalo, Buffalo, New York
[4] State University of New York, Health Sciences Center at Syracuse, Clinical Campus in Binghamton, Binghamton, New York
[5] University of Rochester, School of Medicine and Dentistry at Monroe Community Hospital, Rochester, New York, 14620
来源：
JOURNAL OF GENERAL INTERNAL MEDICINE | 1992年 / 7卷 / 01期
关键词：
NURSING HOMES; FAMILY PRACTICE; INTERNAL MEDICINE; RESIDENT EDUCATION; PROGRAM DIRECTORS;
D O I：
10.1007/BF02599103
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Objective: To assess the role of the nursing home in post-graduate medical education. Design: A survey questionnaire addressing the following issues: 1) prevalence of nursing home rotations in internal medicine and family practice residency programs, 2) duration and type of rotation, 3) extent of residents' responsibilities, 4) patterns of faculty supervision, 5) program directors' assessments of nursing home experience, and 6) frequently encountered problems. Participants: Directors of accredited internal medicine and family practice residency programs in the United States. Measurements and main results: A total of 502 surveys were returned for a response rate of 60%. Nursing home rotations were more frequent in family practice programs (87%) compared with internal medicine programs (32%). Rotations in internal medicine were generally optional and limited to a short block of time compared with family practice, where rotations were most often required and longitudinal. Internal medicine residents received more intense supervision, whereas family practice residents had greater clinical responsibilities. Few faculty had formal geriatric training or certification. Reimbursement for physician services was low. Although availability of faculty, resident interest, and conflict with other clinical services were identified as problem areas, program directors in both internal medicine and family practice were supportive of nursing home rotations for their trainees.
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页码：52 / 56
页数：5
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