Heiman S N, Fink T R, Benbassat J
Dept. of Medicine, Hadassah-University Hospital, Mt. Scopus.
Harefuah. 1990 Sep;119(5-6):141-4.
The undergraduate medical curriculum does not include supervised training in emergency services. Medical students and residents are expected to acquire skills and experience related to emergency medicine during their clerkships in the clinical wards. Consequently, Israeli medical graduates often have difficulty in coping with common situations in primary care and emergency medicine. In response to the perceived need of emergency training, we modified the undergraduate teaching program of the clinical clerkship. During their medical clerkship, students spent several weeks in the emergency ward. Residents were similarly assigned to the emergency ward on a rotating basis for 3-month periods. Both the positive feedback of the trainees and the practical relevance of the program and its feasibility, suggest that it may be a worthwhile addition to the undergraduate and graduate clinical curriculum. However, we have no data for evaluating the outcome. We feel that all aspects of emergency medicine should be included in the teaching programs of the various clinical specialties, and suggest that the emergency room should be used as a teaching setting during the clinical clerkship, the internship and residency training.
本科医学课程不包括急诊服务的带教培训。医学生和住院医师预计在临床病房实习期间获得与急诊医学相关的技能和经验。因此，以色列医学毕业生在应对初级保健和急诊医学中的常见情况时往往存在困难。为了满足急诊培训的需求，我们修改了本科临床实习的教学计划。在医学实习期间，学生们在急诊病房待了几周。住院医师也同样被轮流分配到急诊病房，为期3个月。学员的积极反馈以及该计划的实际相关性和可行性表明，这可能是本科和研究生临床课程中一个值得添加的内容。然而，我们没有评估结果的数据。我们认为急诊医学的各个方面都应纳入各种临床专业的教学计划中，并建议在临床实习、实习医生期和住院医师培训期间将急诊室用作教学场所。
