The generalist function in medicine.
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The names, specialties, and appointment status of physicians with privileges in 161 North Carolina hospitals were obtained and compared to the file of licensed, active, patient-care physicians practicing in the State for the year 1978. The listings were examined to determine the number of physicians without a hospital privilege by age, race, sex, specialty, and geographic location. Overall, only 11 percent of all active physicians did not have some form of hospital appointment. Among family and general practitioners, 29 percent had either a restricted hospital privilege or no hospital appointment at all. A greater number of nonwhite and female physicians were also without privileges. These data have implications for the training of physicians in a system that emphasizes hospital care and includes inpatient treatment within the purview of primary care.
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Data were collected from 350 hospital food service directors regarding their general perceptions of the adequacy of preparation in administration provided in the internship (I), coordinated undergraduate (C), traineeship (T), and advanced degree (A) programs. Most employers (93 percent) said that they believed that the educational preparation varied in the four routes. Differences among the routes were highly significant for the measures theoretical, practical, and overall preparation. The direction of the proportions for these measures was A greater than I greater than C greater than T, I greater than T greater than C greater than A, and I much greater than C greater than T greater than A, respectively. Significant differences were observed for the employers' hiring preferences (I greater than greater than T greater than A approximately C) and their opinions about the least amount of on-the-job training required (I much greater than T greater than C approximately A). Findings also indicated that a significant majority (76 percent) would not vary the starting salary of the entry-level dietitian regardless of the route of attainment.
Data were obtained from 269 employers of entry-level dietitians regarding their specific perceptions of the importance and adequacy of preparation for 69 administrative competencies provided in internship (I), coordinated undergraduate (C), traineeship (T), and advanced degree (A) programs. Sixty-three competencies were rated as important for entry-level performance. Preparation ratings indicated that 41, 55, 81, and 96 percent of all competencies were rated as inadequate or somewhat adequate for the routes I, T, A, and C, respectively. Differences among the routes for mean adequacy ratings across all competencies were highly significant. The direction of the mean ratings was I greater than T greater than A greater than C. Differences between specific routes for mean adequacy ratings across all competencies were highly significant for I greater than C, I greater than T, I greater than A and T greater than C, but not for T greater than A and A greater than C.
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