Enthusiasm for primary care: comparing family medicine and general internal medicine

Journal of General Internal Medicine
W M ZinnN Clark-Chiarelli

Abstract

To compare attitudes and perceptions of primary care among faculty, students, and residents oriented toward family medicine (FM) and general internal medicine (GIM). Descriptive study using confidential telephone interviews. National stratified probability sample of FM and GIM faculty (n = 68), residents (n = 196), and students (n = 81). We created indicators for attitudes toward primary care among the faculty that included perceptions of medical practice, experiences within the academic environment, and support for primary-care-oriented change. For the students and residents, we explored their perceptions of faculty and resident attitudes toward primary care, their perception of encouragement to enter primary care, and their satisfaction with training. Family medicine faculty showed more enthusiasm for primary care as manifested by their greater likelihood to endorse a primary care physician to manage a serious illness (FM 81.3% vs GIM 41.1%; p < .01), their strong encouragement of students to enter primary care (FM 86.2% vs GIM 36.3%; p < .01), and their greater support for primary-care-oriented changes in medical education (FM 56.8% vs GIM 14.7%; p < .01). Family medicine students and residents were more likely to perceive t...Continue Reading

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Citations

Apr 20, 2004·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Paul C SorumJoël Cogneau
Apr 12, 2001·Academic Medicine : Journal of the Association of American Medical Colleges·W M ZinnS D Block
Apr 16, 1998·Journal of General Internal Medicine·T L Schwenk
Dec 20, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Kathryn I PollakJames A Tulsky
Aug 21, 2003·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Paul Clay SorumEtienne Mullet
Sep 5, 2001·Pediatrics·R ShugermanUNKNOWN Career Satisfaction Study Group

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