Center for Public Health Practice, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania 15261, USA.
Am J Prev Med. 2011 Oct;41(4 Suppl 3):S237-41. doi: 10.1016/j.amepre.2011.06.020.
Calls for more public health education for medical students date back at least 150 years. In recent years, medical schools have increased their required coursework in core public health topics such as epidemiology, biostatistics, and behavioral determinants of health. Some schools have created more in-depth alternatives, including combined or concurrent master's degrees; MD/PhD programs with a public health track; certificates in public health; or complete re-envisioning of the school into an integrated medical and public health institution. In 2009 the University of Pittsburgh School of Medicine began a Public Health Area of Concentration (AOC) that provides an optional, integrated curriculum that includes key elements of research, practice, and leadership. The AOC is a partnership between two schools at the University of Pittsburgh--Medicine and Public Health--and the local county health department. The result is a program that provides mentorship and training over 4 years of education designed to mend the long historical divide between the skills and constituencies of individual and population health. In addition, the AOC is relatively easy and inexpensive to implement and is modular in nature. The Public Health AOC is a simple model for incorporating many key aspects of public health into medical education and can be duplicated by any university that is willing to create partnerships and work across boundaries.
呼吁为医学生提供更多公共卫生教育至少可以追溯到 150 年前。近年来，医学院增加了流行病学、生物统计学和健康行为决定因素等核心公共卫生主题的必修课程。一些学校创建了更深入的替代方案，包括联合或同时的硕士学位；与公共卫生相关的 MD/PhD 项目；公共卫生证书；或完全重新构想学校为一个综合医学和公共卫生机构。2009 年，匹兹堡大学医学院开始设立公共卫生重点领域（AOC），提供可选的综合课程，其中包括研究、实践和领导力的关键要素。AOC 是匹兹堡大学两所学校——医学和公共卫生——以及当地县卫生部门之间的合作。该计划提供了 4 年教育的指导和培训，旨在弥合个人和人群健康的技能和利益相关者之间长期存在的历史分歧。此外，AOC 的实施相对简单且成本低廉，其性质具有模块性。公共卫生 AOC 是将许多公共卫生的关键方面纳入医学教育的简单模式，任何愿意建立伙伴关系和跨越界限的大学都可以复制。
