MacKinnon G E
Department of Pharmacy Practice, College of Pharmacy, Midwestern University, Glendale, Arizona 85308, USA.
J Am Osteopath Assoc. 2000 Sep;100(9):560-4.
Future graduates of medical schools in the United States will practice in healthcare environments increasingly predominated by managed care. Thus allopathic and osteopathic undergraduate and postgraduate residency training programs should begin to revise their respective curricula and conduct training in managed healthcare environments to prepare graduates for practice in managed care settings. The demand for curricular revision in medicine comes not only from prospective employers and government agencies, but from students and graduates. Educators, clinicians, and government officials have recently defined core competencies that are requisite to the education and preparation of future physicians through the work of the Council on Graduate Medical Education (COGME). This article discusses these core competencies and suggests strategies by which to implement them in undergraduate and graduate medical education.
美国医学院未来的毕业生将在日益由管理式医疗主导的医疗环境中执业。因此，全科医学和骨科医学的本科及研究生住院医师培训项目应开始修订各自的课程，并在管理式医疗环境中开展培训，以使毕业生为在管理式医疗环境中执业做好准备。医学课程修订的需求不仅来自未来的雇主和政府机构，也来自学生和毕业生。教育工作者、临床医生和政府官员最近通过毕业后医学教育委员会（COGME）的工作，确定了未来医生教育和培养所需的核心能力。本文讨论了这些核心能力，并提出了在本科和研究生医学教育中实施这些能力的策略。
