Finkel Madelon L, Fein Oliver
Weill Medical College of Cornell University, New York, New York 10021, USA.
Acad Med. 2004 Feb;79(2):179-82. doi: 10.1097/00001888-200402000-00015.
Changes in the U.S. health care system have necessitated modifying the scope and content of existing courses in the medical school curricula. In 1996, the Weill Medical College of Cornell University created a new, integrated public health curriculum to reflect the changes in the ways that medical care is organized, financed, and delivered. Teaching medical students to understand the constantly changing health care system is a primary objective of the new curriculum. As part of this curriculum, the medical college instituted a required public health clerkship that focused on the health care system, to be taken in either the third or fourth year. Students are prepared for the clerkship by taking courses in epidemiology, biostatistics, and evidence-based medicine in the first year and an introduction to the health system in the second year. The two-week clerkship, which may be unique in U.S. medical education, seeks to present an in-depth exposure to issues in health care financing and delivery by means of lectures, panel discussions with experts in the field, seminars, and field assignments to health care organizations and agencies.
美国医疗保健系统的变革使得医学院课程中现有课程的范围和内容必须进行调整。1996年，康奈尔大学威尔医学院创建了一门全新的、综合性的公共卫生课程，以反映医疗保健在组织、融资和提供方式上的变化。培养医学生理解不断变化的医疗保健系统是新课程的主要目标。作为该课程的一部分，医学院设立了一门必修的公共卫生实习课程，重点关注医疗保健系统，学生可在三年级或四年级修读。学生在第一年通过学习流行病学、生物统计学和循证医学课程，以及在第二年学习卫生系统导论课程，为实习做好准备。这门为期两周的实习课程在美国医学教育中可能独具特色，旨在通过讲座、与该领域专家的小组讨论、研讨会以及对医疗保健组织和机构的实地考察，让学生深入了解医疗保健融资和提供方面的问题。
