Gourevitch Marc N, Malaspina Dolores, Weitzman Michael, Goldfrank Lewis R
Division of General Internal Medicine, Department of Medicine, School of Medicine, New York University, 550 First Avenue, Old Bellevue A 616, New York, NY 10016, USA.
J Urban Health. 2008 Sep;85(5):779-86. doi: 10.1007/s11524-008-9297-4. Epub 2008 Jun 24.
The importance of the public hospital system to medical education is often absent from the debate about its value. Best known as a core provider of services to the underserved, the safety net hospital system also plays a critical role in the education of future physicians. Particular strengths include its ability to imbue physicians in training with core professional values, to reveal through the enormous range of clinical experience provided many of the social forces shaping health, and to foster interest in and commitment to advancing population health. Faculty teaching in the public hospital system has unusual opportunities to reveal to learners the broader meanings of their diverse and rich experiences. Now, as an alarming array of pressures bearing down on the safety net system threaten its stability, the potential negative impact on medical education, were it to shrink or be forced to change its essential mission, must be considered. As advocates of the safety net system marshal forces to rationalize its funding and support, its tremendous contribution to the training of physicians and other health care professionals must be clearly set forth to ensure that support for the public hospital system's health is appropriately broad based.
公立医院系统对医学教育的重要性在关于其价值的辩论中常常被忽视。作为向服务不足人群提供服务的核心提供者，安全网医院系统在未来医生的教育中也发挥着关键作用。其特别优势包括能够让接受培训的医生树立核心专业价值观，通过提供广泛的临床经验揭示塑造健康的诸多社会力量，并培养对促进人群健康的兴趣和责任感。公立医院系统的教师有独特机会向学习者揭示其多样而丰富经历的更广泛意义。如今，由于安全网系统面临一系列令人担忧的压力，威胁到其稳定性，因此必须考虑如果该系统萎缩或被迫改变其基本使命，对医学教育可能产生的负面影响。随着安全网系统的倡导者们集结力量使其资金和支持合理化，必须明确阐述其对医生和其他医疗专业人员培训的巨大贡献，以确保对公立医院系统健康的支持有广泛而适当的基础。
