Vernec A, Shrier I
Sports Medicine Clinic, the Herzl Family Practice Center, McGill University Faculty of Medicine, Montreal, Quebec, Canada.
Acad Med. 2001 Mar;76(3):293-6. doi: 10.1097/00001888-200103000-00024.
The authors describe their experience in setting up a sports medicine teaching unit within a family practice center of a teaching hospital. The unit's patient population more closely resembles that of a typical family practice than that of a traditional musculoskeletal teaching clinic (e.g., orthopedics, emergency room). The teaching program includes direct observation of residents performing history taking and physical examinations through one-way mirrors, close supervision for each case, and a sports therapist who educates patients and residents about home exercise programs when physiotherapy within private clinics is not necessary or affordable. At the end of each session 20-30 minutes are devoted to teaching specific physical examination skills. The authors describe how their clinic interacts with other services within the hospital and how certain obstacles they encountered when setting up the clinic might be avoided by others. They feel that this type of unit complements other existing programs in the family medicine department and provides an excellent learning experience for family medicine residents, who are likely to see a high proportion of patients with muskuloskeletal injuries in their practices.
作者描述了他们在一家教学医院的家庭医疗中心内设立运动医学教学单元的经历。该单元的患者群体与典型的家庭医疗更为相似，而非传统的肌肉骨骼教学诊所（如骨科、急诊室）。教学项目包括通过单向镜直接观察住院医师进行病史采集和体格检查，对每个病例进行密切监督，以及在私人诊所的物理治疗不必要或负担不起时，由运动治疗师向患者和住院医师传授家庭锻炼计划。在每节课结束时，会用20 - 30分钟来教授特定的体格检查技能。作者描述了他们的诊所如何与医院内的其他服务部门互动，以及其他人如何避免他们在设立诊所时遇到的某些障碍。他们认为这种类型的单元补充了家庭医学部门其他现有的项目，并为家庭医学住院医师提供了绝佳的学习体验，因为他们在实践中可能会见到很大比例的肌肉骨骼损伤患者。
