Results of a survey of medical informatics trainees currently supported by the National Library of Medicine (NLM) regarding their experience, activities, and goals are presented. Their responses indicate: (1) a wide breadth of experience and interests; (2) a dominance of program-director personalities, rather than content and issues, in selecting training programs, and (3) frequent dissatisfaction with the content and structure of the training programs. The survey was limited to trainees in the Medical Informatics Research Training program of the NLM to clearly define and easily identify the study group. After pilot testing, a ten-page questionnaire was mailed to all 43 current fellows. To preserve confidentiality, no individual identification was requested on the questionnaire. Survey returns were monitored using a separate form with the respondent's name and program site.
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