Longlett S, Kruse J
Department of Family Practice, Southern Illinois University School of Medicine.
Fam Med. 1992 Jan;24(1):28-35.
A mailed questionnaire was used to provide a profile of behavioral science educators in family practice residency programs, to examine some aspects of behavioral science curriculum development, and to compare the attitudes of behavioral science educators and family physicians regarding the proper level of involvement of family physicians in a variety of psychosocial problems. The study populations consisted of all 383 behavioral science coordinators of US family practice programs and a national sample of 400 residency-trained family physicians. Eighty percent of the behavioral science educators were familiar with the Core Competency Objectives in Behavioral Science Education, published by the Society of Teachers of Family Medicine, and 61% had used this document to aid in curriculum development. Both behavioral science educators and family physicians perceived that the training provided in the areas of physician-patient relationships, family awareness, and personal and professional relationships was quite effective. The physicians felt significantly less effectively trained in the areas of biopsychosocial assessment and management. A high level of concordance was found between the responses of physicians and educators regarding the appropriate level of involvement of family physicians in various psychosocial problems. One exception between the two groups involved the problems of family and social functioning, for which family physicians advocated a more active level of involvement than did behavioral science educators.
通过邮寄问卷来了解家庭医学住院医师培训项目中行为科学教育工作者的概况，考察行为科学课程开发的某些方面，并比较行为科学教育工作者和家庭医生对家庭医生参与各种心理社会问题的适当程度的态度。研究对象包括美国家庭医学项目的所有383名行为科学协调员以及400名接受过住院医师培训的家庭医生的全国样本。80%的行为科学教育工作者熟悉家庭医学教师协会发布的《行为科学教育核心能力目标》，61%的人曾使用该文件辅助课程开发。行为科学教育工作者和家庭医生都认为在医患关系、家庭意识以及个人和职业关系方面提供的培训相当有效。医生们觉得在生物心理社会评估和管理方面接受的培训效果明显较差。在家庭医生参与各种心理社会问题的适当程度方面，医生和教育工作者的回答之间存在高度一致性。两组之间的一个例外涉及家庭和社会功能问题，对于这些问题，家庭医生主张比行为科学教育工作者更积极地参与。
