Buchman T G, Dellinger R P, Raphaely R C, Todres I D
Department of Surgery, University School of Medicine, Baltimore, MD.
Crit Care Med. 1992 Nov;20(11):1595-603.
To review the current status and future needs of medical students with respect to education in critical care medicine.
Literature review and questionnaire administered at the 1990 Educational and Scientific Symposium of the Society of Critical Care Medicine.
Medical students are presently not required to master even the basic aspects of critical care medicine before licensing. The results of the questionnaire demonstrated that critical care medicine professionals believe a critical care core curriculum should be established and its completion should be made a requirement for graduation from medical school. A reference set of critical care medicine learning objectives and a strategy for their implementation are presented.
There is a gap between what student physicians are required to learn and what they need to know to effectively initiate critical care interventions and to appropriately refer patients to ICUs. This gap can and should be remedied with wide implementation of a critical care core curriculum.
回顾医学生在重症医学教育方面的现状及未来需求。
文献综述以及在1990年重症医学会教育与科学研讨会上发放的调查问卷。
目前，医学生在获得行医执照之前甚至无需掌握重症医学的基本内容。调查问卷结果显示，重症医学专业人员认为应设立重症医学核心课程，并将其修完作为医学院毕业的一项要求。本文还给出了一套重症医学学习目标参考集及其实施策略。
在执业医师所需学习的内容与他们有效开展重症监护干预及合理将患者转诊至重症监护病房所需了解的内容之间存在差距。这一差距能够且应该通过广泛实施重症医学核心课程来弥补。
