Dysinger Wayne S, King Valerie, Foster Tina C, Geffken Dominic
Department of Preventive Medicine, Loma Linda University, Loma Linda, CA 92350, USA.
Fam Med. 2011 Jul-Aug;43(7):480-6.
Expanded competencies in population health and systems-based medicine have been identified as a need for primary care physicians. Incorporating formal training in preventive medicine is one method of accomplishing this objective.
We identified three family medicine residencies that have developed formal integrated pathways for residents to also complete preventive medicine residency requirements during their training period. Although there are differences, each pathway incorporates a structured approach to dual residency training and includes formal curriculum that expands resident competencies in population health and systems-based medicine.
A total of 26 graduates have completed the formally combined family and preventive medicine residencies. All are board certified in family medicine, and 22 are board certified in preventive medicine. Graduates work in a variety of academic, quality improvement, community, and international settings utilizing their clinical skills as well as their population medicine competencies. Dual training has been beneficial in job acquisition and satisfaction.
Incorporation of formal preventive medicine training into family medicine education is a viable way to use a structured format to expand competencies in population medicine for primary care physicians. This type of training, or modifications of it, should be part of the debate in primary care residency redesign.
已确定初级保健医生需要具备更广泛的人群健康和基于系统的医学能力。纳入预防医学的正规培训是实现这一目标的一种方法。
我们确定了三个家庭医学住院医师培训项目，这些项目为住院医师制定了正规的综合路径，以便他们在培训期间也能完成预防医学住院医师培训要求。尽管存在差异，但每条路径都采用结构化方法进行双重住院医师培训，并包括扩展住院医师在人群健康和基于系统的医学方面能力的正规课程。
共有26名毕业生完成了正规的家庭医学与预防医学联合住院医师培训。所有人都获得了家庭医学委员会认证，22人获得了预防医学委员会认证。毕业生利用他们的临床技能以及人群医学能力，在各种学术、质量改进、社区和国际环境中工作。双重培训对就业和满意度都有帮助。
将正规的预防医学培训纳入家庭医学教育是一种可行的方式，可利用结构化形式扩展初级保健医生的人群医学能力。这种类型的培训或其改进形式，应成为初级保健住院医师培训重新设计讨论的一部分。
