Acad Med. 1991 Sep;66(9):534-9. doi: 10.1097/00001888-199109000-00021.
In most U.S. medical schools, required clerkships in internal medicine, pediatrics, surgery, obstetrics and gynecology, and psychiatry are considered the core components of a student's clinical education. Because the specialty of family practice is not as well established in the medical school curriculum, the federal government is interested in promoting the specialty as part of its continuing efforts to increase the number of primary care physicians. Therefore, in August 1989 the Division of Medicine, Bureau of Health Professions, United States Department of Health and Human Services, awarded a purchase order to the Society of Teachers of Family Medicine to develop curricular guidelines for third-year family medicine clerkships. The authors represent the working committee that developed these guidelines. This paper describes the process used to develop the core curricular guidelines, presents the product of the curriculum development activities, and discusses dissemination, implementation, and further development activities.
在美国大多数医学院校，内科、儿科、外科、妇产科及精神病学的必修临床实习被视为学生临床教育的核心组成部分。由于家庭医学专业在医学院课程体系中尚未得到充分确立，联邦政府有意推动该专业发展，作为其持续增加初级保健医生数量努力的一部分。因此，1989年8月，美国卫生与公众服务部卫生专业局医学司向家庭医学教师协会授予一份采购订单，以制定三年级家庭医学临床实习的课程指南。本文作者代表制定这些指南的工作委员会。本文描述了制定核心课程指南所采用的过程，展示了课程开发活动的成果，并讨论了传播、实施及进一步开发活动。
