Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York 10032, USA.
Am J Prev Med. 2011 Oct;41(4 Suppl 3):S264-9. doi: 10.1016/j.amepre.2011.05.025.
Medical educators and accreditation organizations recognize that healthcare professionals in the future will depend on working knowledge of the larger contexts and systems of health care, including population and public health. Little published guidance on medical education in health systems and public health exists, particularly for graduate medical education.
This study describes the evaluation of a curriculum in health systems and public health which was successfully implemented in an internal medicine residency training program.
A pilot program consisting of a week-long didactic curriculum for senior residents, including ten half-day seminars. Two cycles of the pilot curriculum were implemented in September and November, 2007.
SETTING/PARTICIPANTS: The participants were third-year residents in an internal medicine training program at a large, urban academic medical center.
The 1-week curriculum was fully implemented and evaluated in the academic years 2008-2010. It included seminars on health policy and economics, health insurance, technology and cost assessment, legal medicine, public health, community-oriented primary care, and local health department initiatives.
Residents evaluated the quality and impact of the seminars and overall curriculum, retrospectively assessed their knowledge of topics presented before and after the seminars, and rated the seminars that were most valuable to them.
The seminars were highly rated by the participating residents, and the curriculum was judged by them to be valuable in their clinical activities and professional development.
Key lessons learned included the importance of accessing resources external to the residency program and the challenge of making learning in health systems and public health active and relevant to clinical practice.
医学教育者和认证机构认识到，未来的医疗保健专业人员将依赖于对卫生保健系统和公共卫生等更大背景和系统的工作知识。在卫生系统和公共卫生医学教育方面，发表的指导意见很少，特别是对于研究生医学教育。
本研究描述了对在内科住院医师培训计划中成功实施的卫生系统和公共卫生课程的评估。
一个试点项目，包括为期一周的高级住院医师的理论课程，包括十个半天的研讨会。该试点课程于 2007 年 9 月和 11 月实施了两个周期。
地点/参与者：参与者为大型城市学术医疗中心内科培训计划的三年级住院医师。
2008-2010 学年全面实施并评估了为期一周的课程。它包括关于卫生政策和经济学、健康保险、技术和成本评估、法医学、公共卫生、以社区为导向的初级保健和地方卫生部门倡议的研讨会。
住院医师评估研讨会和整体课程的质量和影响，回顾性评估他们在研讨会前后对主题的了解程度，并对对他们最有价值的研讨会进行评分。
参与的住院医师对研讨会给予了高度评价，他们认为该课程对他们的临床活动和职业发展很有价值。
吸取的主要经验教训包括获取住院医师计划以外的资源的重要性，以及使卫生系统和公共卫生学习具有活力并与临床实践相关的挑战。
