Ornt Daniel B, Aron David C, King Nicholas B, Clementz Laura M, Frank Scott, Wolpaw Terry, Wilson-Delfosse Amy, Wolpaw Daniel, Allan Terrence M, Carroll Matthew, Thompson-Shaheen Karen, Altose Murray D, Horwitz Ralph I
School of Medicine, Case Western Reserve University, Cleveland, OH 44106-4195, USA.
Acad Med. 2008 Apr;83(4):327-31. doi: 10.1097/ACM.0b013e318166ab8a.
Inclusion of population medicine in a medical school curriculum has received growing attention. Recently, the Association of American Medical Colleges has highlighted this issue through support of the Regional Medicine and Public Health Education Centers initiative. The Case Western Reserve University School of Medicine joined this consortium while implementing a new curriculum in which population medicine would be an underlying theme woven with the classic science elements of disease. The organization for the first two years of the new curriculum, which was implemented in 2006, is a six-block structure during which the basic sciences are learned with key concepts of population medicine woven throughout. The focus for this article is Block One, in which population medicine is the major emphasis of the introduction to medicine. The first week, students learn social determinants, impact on communities, and social aspects of diabetes mellitus, even before addressing a patient's clinical presentation. Emphasis on student-centered learning is undertaken as part of the new curriculum, using a series of weekly, case-based, small-group sessions. This type of group learning is used throughout Block One as students encounter key components of population medicine. A thesis requirement was also introduced as a mechanism to emphasize research with opportunities for research in population medicine as well as other medical sciences. A variety of mechanisms are described to measure the outcomes of Block One.
将群体医学纳入医学院课程已受到越来越多的关注。最近，美国医学院协会通过支持区域医学与公共卫生教育中心倡议突出了这一问题。凯斯西储大学医学院加入了这个联盟，同时实施了一门新课程，其中群体医学将作为一个潜在主题与疾病的经典科学元素交织在一起。2006年实施的新课程的前两年采用六模块结构，在此期间学习基础科学，同时贯穿群体医学的关键概念。本文重点关注第一模块，其中群体医学是医学导论的主要重点。在第一周，学生们甚至在探讨患者临床表现之前，就学习社会决定因素、对社区的影响以及糖尿病的社会方面。作为新课程的一部分，强调以学生为中心的学习，采用一系列每周一次、基于案例的小组课程。在整个第一模块中，当学生遇到群体医学的关键组成部分时，都会采用这种小组学习方式。还引入了论文要求，作为强调研究的一种机制，提供群体医学以及其他医学科学的研究机会。文中描述了多种衡量第一模块学习成果的机制。
