Brocklehurst J C
Gerontol Clin (Basel). 1975;17(1):23-30. doi: 10.1159/000245550.
A 3-year rotating programme for three general practitioners as clinica assistants involved in in-patient care is described in the three associated departments of medicine, geriatric medicine and psychiatry in a district general hospital. The appointments were for three sessions a week each. The effectiveness of such rotating appointments is analysed including both the service contribution to the hospital and the educational content from the general practioner's point of view and also the way in which such appointments fit in with the timetable of work in general practice. Such a rotating scheme is most successful in geriatric medicine and psychiatry. Involvement in in-patient care in general medicine proved more difficult. Future schemes might include only 6 months in general medicine, together with 6 months in another specialty.
一家地区综合医院的内科、老年医学科和精神科这三个相关科室描述了一项为期三年的轮转计划,该计划针对三名全科医生担任临床助理参与住院患者护理。每人每周安排三个班次。分析了这种轮转任命的有效性,包括对医院的服务贡献、从全科医生角度看的教育内容,以及这种任命与全科医疗工作时间表的契合方式。这样的轮转计划在老年医学科和精神科最为成功。事实证明,参与内科的住院患者护理工作难度更大。未来的计划可能包括在内科工作6个月,再在另一个专科工作6个月。