Department of Family Medicine, McMaster University, 1200 Main St W, Hamilton, ON L8S 4L8.
Can Fam Physician. 2011 Aug;57(8):e288-91.
Family medicine residents require more exposure to all aspects of care of the elderly in the community, including care in long-term care (LTC) homes.
To provide a framework for the development of integrated LTC rotations in family medicine programs.
Clear objectives for residents and clinical preceptors provided the foundation for the program. Rotations of 4 half days per year in LTC homes were integrated into core family medicine blocks. Residents worked with family physician preceptors providing LTC in the community. Teaching was case based and aligned with the core competencies set out in the CanMEDS (Canadian Medical Directives for Specialists) framework for medical education. The program was strongly supported by the university's administration, clinical preceptors in the community, and LTC homes.
All the residents rated their LTC rotations as useful or extremely useful in preparing them to provide LTC in their future practices. Long-term care homes realized that investing in training medical residents in LTC could help improve care of the elderly in the community.
家庭医学住院医师需要更多接触社区老年人护理的各个方面，包括长期护理（LTC）院中的护理。
为家庭医学项目中整合长期护理轮训提供框架。
为住院医师和临床指导教师提供明确的目标为该项目奠定了基础。每年在长期护理院进行 4 个为期半天的轮转，与核心家庭医学课程相结合。住院医师与在社区提供长期护理的家庭医生指导教师一起工作。教学以案例为基础，并与加拿大医学协会（Canadian Medical Directives for Specialists）框架中规定的核心能力保持一致，该框架是医学教育的基础。该项目得到了大学行政部门、社区临床指导教师和长期护理院的大力支持。
所有住院医师都认为他们的长期护理轮转在为他们未来的实践提供长期护理方面非常有用或极其有用。长期护理院认识到，投资培训医疗住院医师进行长期护理可以帮助改善社区老年人的护理。
