An examination of the professional constructs of family medicine practitioners regarding patient management techniques



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Twenty-six family medicine physicians and twenty-seven internal medicine physicians were examined to determine if there were differences between the two medical specialties regarding patient management appproaches. In addition, the socialization process of residents into their respectie medical specialties was also examined. Differences between the two medical specialties and the socialization process of the residents was assessed utilizing two measures: (a) a variation of the role repertory grid (Kelly, 1955), and (b) a multiple choice test patterned after the National Board of Medical Examinations. Results suggest that family medicine physicians are more flexible, more varied, and more contextual in their management of patients than internal medicine physicians. Results also suggest that factors other than residency training affect the residents1 socialization into their respective medical specialty. These findings imply that experiences of practicing physicians, not theoretical formulations, should be the basis of residency training program curriculum if socialization goals of residency are to be achieved.



Physician and patient, Family medicine