General Preventive Medicine program, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Am J Prev Med. 2011 Oct;41(4 Suppl 3):S290-5. doi: 10.1016/j.amepre.2011.06.021.
In an era of substantial reform to the nation's health system, there has never been a greater need for physicians to understand public health. One way to foster public health in medical education is to utilize the resources within General Preventive Medicine and Public Health (PM) residency programs. Trained in public health and clinical medicine, PM physicians are uniquely positioned to bridge these disciplines.
Little is known about the level of engagement of PM residency programs in medical education. This study explores the current state of their involvement.
Program directors from all Accreditation Council for Graduate Medical Education-accredited PM residency programs were asked to participate in a survey to assess involvement in medical student and non-PM resident education, including on nine key engagement criteria covering teaching, rotations, career interest groups, and other activities. The study was conducted and data analyzed in 2010.
Thirty-five of 38 (92%) programs responded. Seventy-four percent reported that PM faculty taught medical students, and 34% taught at non-PM residency programs. The lowest level of engagement was seen in PM residents teaching non-PM residents (12%). Over half of all programs met four or fewer of the nine criteria. The most common barriers to engagement were lack of funding (53%) and lack of time (50%).
These results suggest that PM residency programs are an underutilized resource in fostering public health in medical education, especially on engagement at the level of graduate medical education. Strategies to improve engagement should consider the nine criteria outlined in this study, as well as common barriers.
在国家卫生系统进行重大改革的时代，医生比以往任何时候都更需要了解公共卫生。在医学教育中培养公共卫生意识的一种方法是利用普通预防医学和公共卫生（PM）住院医师培训计划的资源。接受过公共卫生和临床医学培训的 PM 医生在这两个学科之间具有独特的桥梁作用。
目前对于 PM 住院医师培训计划在医学教育中的参与程度知之甚少。本研究探讨了其目前的参与情况。
邀请所有经研究生医学教育认证委员会（Accreditation Council for Graduate Medical Education）认证的 PM 住院医师培训计划的主任参与一项调查，以评估其在医学生和非 PM 住院医师教育方面的参与情况，包括九个关键参与标准，涵盖教学、轮转、职业兴趣小组和其他活动。该研究于 2010 年进行并进行数据分析。
38 个计划中有 35 个（92%）做出了回应。74%的计划报告说 PM 教师教授医学生，34%的计划在非 PM 住院医师培训计划中教授。PM 住院医师教授非 PM 住院医师的参与程度最低（12%）。超过一半的计划满足了九个标准中的四个或更少。参与的最常见障碍是缺乏资金（53%）和缺乏时间（50%）。
这些结果表明，PM 住院医师培训计划是在医学教育中培养公共卫生意识的一种未充分利用的资源，尤其是在研究生医学教育层面的参与度。提高参与度的策略应考虑本研究中概述的九个标准以及常见障碍。
