Alemagno Sonia A, Wilkinson Margaret, Levy Leonard
Institute for Health and Social Policy, University of Akron, Akron, Ohio 44325-1915, USA.
Acad Med. 2004 Feb;79(2):123-7. doi: 10.1097/00001888-200402000-00005.
The authors describe a pilot medical education program that developed a new and ongoing correctional medicine curriculum for third- and fourth-year medical students at Nova Southeastern University College of Osteopathic Medicine. During the first two years of the pilot program (2000-02), a total of 53 students were placed in one-month rotations in prison health care settings. Students received orientations, directed readings, and prison clinic experience under the director of board-certified physician preceptors. An evaluation of the pilot experience was conducted by student survey. The findings indicate that students had positive experiences related to continuity of care, access to pathology, access to procedures, and exposure to a unique managed care model. Students requested more structured curriculum and more opportunities to develop content understanding of the unique clinical aspects of prison health care. The authors conclude that given the increasing U.S. prison population, the constitutional requirement to provide medical care to inmates, and demand for career-oriented correctional physicians, the favorable outcome of this pilot educational program provides support for implementing such programs in medical schools throughout the country. They also speculate that the program may encourage some students to practice in correctional institutions as a career.
作者描述了一个试点医学教育项目，该项目为诺瓦东南大学整骨医学院的三年级和四年级医学生开发了一门全新且持续更新的惩教医学课程。在试点项目的头两年（2000 - 2002年），共有53名学生在监狱医疗环境中进行了为期一个月的轮转实习。学生们在获得认证委员会认证的医师带教老师的指导下，接受了入职培训、指定阅读材料以及监狱诊所实习。通过学生调查对试点经历进行了评估。调查结果表明，学生们在医疗服务连续性、接触病理学知识、参与医疗程序以及接触独特的管理式医疗模式等方面都有积极的体验。学生们要求课程设置更具结构性，并有更多机会深入理解监狱医疗保健独特临床方面的内容。作者得出结论，鉴于美国监狱人口不断增加、为囚犯提供医疗服务的宪法要求以及对面向职业的惩教医生的需求，这个试点教育项目的良好成果为在全国医学院校实施此类项目提供了支持。他们还推测，该项目可能会鼓励一些学生将在惩教机构工作作为职业选择。
