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本科医学教育中家庭医学的“最小核心课程”:EURACT 代表的欧洲德尔菲调查。

A 'minimal core curriculum' for Family Medicine in undergraduate medical education: a European Delphi survey among EURACT representatives.

机构信息

Department of Family Medicine, Siaal Family Medicine and Primary Care Research Center, Division of Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Israel.

出版信息

Eur J Gen Pract. 2011 Dec;17(4):217-20. doi: 10.3109/13814788.2011.585635. Epub 2011 May 16.

Abstract

BACKGROUND

Family Medicine/General Practice (FM/GP) has not developed in a similar way worldwide. In countries that are not primary care oriented, the discipline of FM/GP may be less developed because this is not a career option for medical graduates. In such a situation, FM/GP will not be regarded as a required clinical experience during medical school.

OBJECTIVES

To define the 'minimal requirements' or 'minimal core content' for a clerkship in FM/GP of very short duration, i.e. a basic curriculum for a clinical rotation in FM/GP, taking into account that in some European countries the time allocated for this rotation may not exceed one week.

METHOD

The Delphi method was used. The study group was composed of 40 family physicians and medical educators who act as national representatives of all European countries-plus Israel-in the Council of the European Academy of Teachers in General Practice and Family Medicine (EURACT). The representatives are elected among the EURACT members in their country.

RESULTS

After three Delphi rounds we obtained a consensual list of 15 themes regarded by the respondents as the most important to be included in a minimal core curriculum for FM/GP in undergraduate medical education.

CONCLUSION

This list may be useful for teachers and institutions that are about to introduce GP/FM as a new topic in their medical faculty, having only limited time available for the course. They will be able to focus on topics chosen by a European expert panel as being the most important in such a situation.

摘要

背景

家庭医学/全科医学(FM/GP)在全球范围内的发展方式并不相同。在非以初级保健为导向的国家,FM/GP 学科的发展可能不够完善,因为这不是医学毕业生的职业选择。在这种情况下,FM/GP 不会被视为医学院校期间必需的临床经验。

目的

确定 FM/GP 短期实习(即 FM/GP 临床轮转的基本课程)的“最低要求”或“最小核心内容”,考虑到在一些欧洲国家,该轮转的时间可能不超过一周。

方法

采用德尔菲法。研究小组由 40 名家庭医生和医学教育工作者组成,他们作为欧洲家庭医学和普通医学教师学会(EURACT)的国家代表,代表所有欧洲国家(以色列除外)。这些代表是在其国家的 EURACT 成员中选举产生的。

结果

经过三轮德尔菲法,我们获得了一份共识清单,列出了 15 个主题,受访者认为这些主题对于本科医学教育中的 FM/GP 最小核心课程至关重要。

结论

对于那些即将在医学院开设全科医学/FM 新课程、但课程时间有限的教师和机构来说,这份清单可能非常有用。他们将能够专注于欧洲专家小组选择的在这种情况下最重要的主题。

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