Mattsson B, Freeman G K, Coles C R, Schmedlin J
Primary Medical Care Group, Faculty of Medicine, University of Southampton, UK.
Med Educ. 1991 Mar;25(2):144-50. doi: 10.1111/j.1365-2923.1991.tb00041.x.
The Primary Medical Care Group at the University of Southampton contributes to the medical curriculum in the first, third and final years. A visiting lecturer from Sweden took the opportunity to interview a sample of 20 final-year students using a qualitative approach. Questioning centered on the impact of the primary care course both in relationship to medicine as a whole and to general practice. It was found that primary medical care was often not seen as a central or integral part of the curriculum but many students acknowledged its important contribution to seeing the patient as a whole and in integrating the various other parts of the curriculum, with significant opportunity for role modelling and informing career choice. A hidden curriculum emerged of attitudes which provided a conflict for some students. Improvements should include clearer dovetailing of primary medical care with other curricular components, limitation of aims with more specific and rigorous assessment and a wide strategy of staff development not confined to those directly involved in general practice attachments.
南安普顿大学的初级医疗保健小组参与了医学课程第一年、第三年和最后一年的教学。一位来自瑞典的客座讲师利用定性研究方法，对20名最后一年的学生进行了抽样访谈。问题集中在初级保健课程对整个医学以及全科医疗的影响。研究发现，初级医疗保健在课程中常常未被视为核心或不可或缺的部分，但许多学生承认它在将患者视为一个整体以及整合课程的其他各个部分方面发挥了重要作用，并且在树立榜样和指导职业选择方面有很大机会。一种隐藏的课程显现出一些态度，这给一些学生带来了冲突。改进措施应包括使初级医疗保健与其他课程组成部分更清晰地衔接，通过更具体、严格的评估来限制目标，以及采取广泛的员工发展策略，而不仅限于那些直接参与全科医疗实习的人员。
