Kohlwes R J, Shunk R L, Avins A, Garber J, Bent S, Shlipak M G
General Internal Medicine Section, Veterans Affairs Medical Center, San Francisco, CA 94121, USA.
J Gen Intern Med. 2006 May;21(5):506-9. doi: 10.1111/j.1525-1497.2006.00438.x.
The Primary Medical Education (PRIME) program is an outpatient-based, internal medicine residency track nested within the University of California, San Francisco (UCSF) categorical medicine program. Primary Medical Education is based at the San Francisco Veteran's Affairs Medical Center (VAMC), 1 of 3 teaching hospitals at UCSF. The program accepts 8 UCSF medicine residents annually, who differentiate into PRIME after internship. In 2000, we implemented a novel research methods curriculum with the dual purposes of teaching basic epidemiology skills and providing mentored opportunities for clinical research projects during residency.
Single academic internal medicine program.
The PRIME curriculum utilizes didactic lecture, frequent journal clubs, work-in-progress sessions, and active mentoring to enable residents to "try out" a clinical research project during residency.
Among 32 residents in 4 years, 22 residents have produced 20 papers in peer-reviewed journals, 1 paper under review, and 2 book chapters. Their clinical evaluations are equivalent to other UCSF medicine residents.
While learning skills in evidence-based medicine, residents can conduct high-quality research. Utilizing a collaboration of General Internal Medicine researchers and educators, our curriculum affords residents the opportunity to "try-out" clinical research as a potential future career choice.
初级医学教育（PRIME）项目是一个基于门诊的内科住院医师培训项目，隶属于加利福尼亚大学旧金山分校（UCSF）的普通内科项目。初级医学教育以旧金山退伍军人事务医疗中心（VAMC）为基地，该中心是UCSF的三家教学医院之一。该项目每年招收8名UCSF内科住院医师，他们在实习后分流到PRIME项目。2000年，我们实施了一门新颖的研究方法课程，其双重目的是教授基本的流行病学技能，并在住院医师培训期间为临床研究项目提供指导机会。
单一的学术性内科项目。
PRIME课程利用讲授式讲座、频繁的期刊俱乐部、研究进展汇报会以及积极的指导，使住院医师能够在住院医师培训期间“尝试”开展临床研究项目。
在4年里的32名住院医师中，22名住院医师在同行评审期刊上发表了20篇论文，1篇论文正在评审中，还有2篇书籍章节。他们的临床评估结果与其他UCSF内科住院医师相当。
在学习循证医学技能的同时，住院医师能够开展高质量的研究。通过综合内科研究人员和教育工作者的合作，我们的课程为住院医师提供了“尝试”临床研究的机会，将其作为未来潜在的职业选择。
