University of Western Australia, Perth, WA. jon.emeryATuwa.edu.au
Med J Aust. 2011 Jun 6;194(11):S97-100. doi: 10.5694/j.1326-5377.2011.tb03138.x.
Current proposals for significant primary health care reform in Australia create a timely opportunity to reflect on the education and training requirements of future general practitioners. Australian general practice will become increasingly team-based, with growing emphasis on coordinated care, chronic disease management, and disease prevention and self-management, while maintaining its focus on delivering high-quality, patient-centred care. This will require cost-effective application of new technologies and information management systems within new models of delivering health care. Future models of general practice training must respond to these new ways of working to ensure general practice remains an attractive career choice and training programs graduate doctors who are equipped to meet the health needs of Australians. This article discusses potential development of new general practice vocational training models in Australia. This includes hospital rotations that are more directly integrated with general practice placements and have greater emphasis on the needs of the future general practice workforce; and an extension of the training program to 4 years with a final year tailored to future career plans including development of expertise in practice management, specific clinical disciplines or academic skills.
目前澳大利亚提出了重大的初级卫生保健改革方案，这为反思未来全科医生的教育和培训要求提供了一个及时的机会。澳大利亚的全科医疗将越来越以团队为基础，更加注重协调护理、慢性病管理以及疾病预防和自我管理，同时保持以患者为中心的高质量医疗服务重点。这将需要在新的医疗服务模式中有效地应用新技术和信息管理系统。未来的全科医学培训模式必须应对这些新的工作方式，以确保全科医学仍然是一个有吸引力的职业选择，并使培训项目培养出能够满足澳大利亚人健康需求的医生。本文讨论了澳大利亚新的全科医学职业培训模式的潜在发展。这包括与全科医疗实习更直接结合的医院轮转实习，以及更加强调未来全科医疗人员队伍需求；并将培训项目延长至 4 年，最后一年根据未来的职业规划进行定制，包括在实践管理、特定临床学科或学术技能方面发展专长。
