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Related Experiment Videos

Academia's chilly climate for primary care

S D Block1, N Clark-Chiarelli, A S Peters

  • 1Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA.

JAMA
|September 4, 1996
PubMed
Summary

Medical students and residents perceive a negative academic environment for primary care careers, despite educational reforms. Faculty attitudes and values require change to foster enthusiasm for generalist practice.

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Area of Science:

  • Medical Education
  • Primary Care Research
  • Academic Medicine

Background:

  • Primary care is crucial for healthcare systems.
  • Attitudes towards primary care influence career choices.
  • Academic health centers shape future physicians' perspectives.

Purpose of the Study:

  • To assess attitudes and perceptions of primary care education and practice.
  • To understand the views of various academic health center constituents.

Main Methods:

  • Descriptive study utilizing confidential telephone interviews.
  • Surveyed national samples of medical students, residents, faculty, training directors, and deans (N=2293).
  • Response rate of 84% achieved.

Main Results:

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  • Respondents viewed primary care tasks as less complex and primary care research as inferior.
  • Learners reported little encouragement and negative faculty attitudes towards generalist careers.
  • Perceived quality of primary care training was lower than for specialty practice.

Conclusions:

  • Students and residents face a "chilly" atmosphere regarding primary care.
  • Medical educators must address faculty attitudes and values to improve primary care enthusiasm.
  • Changes in faculty composition and values are necessary to support primary care.