Firnhaber Jonathon, Kolasa Kathryn
Department of Family Medicine, East Carolina University, Greenville, NC 27834, USA.
Fam Med. 2012 Mar;44(3):202-4.
There are many challenges to providing procedural skills training as well as exposure to rural practice for family medicine residents, especially within the allowed hours of training.
A curriculum for self study was developed based on a Society of Teachers of Family Medicine consensus statement on procedural skills, resident interest and faculty experience. An agreement to offer a pilot procedural clinic at a community health center staffed by a family medicine faculty and resident was negotiated and delivered. Residents completed an evaluation of the experience.
One faculty and 13 residents delivered 19 different procedures, with a total of 65 procedures, over an 11-month period at a community health center. Minor barriers to providing services such as initially low referral rates and lack of instruments were overcome.
Residents agreed that participating in this clinic increased the likelihood of adding procedures to their clinical practice and enhanced their appreciation for practice in a rural setting but may not have impacted their likelihood of practicing in a rural area.
为家庭医学住院医师提供程序技能培训以及让他们接触农村医疗实践存在诸多挑战，尤其是在规定的培训时间内。
基于家庭医学教师协会关于程序技能的共识声明、住院医师的兴趣以及教师的经验，开发了一门自学课程。经过协商，在由一名家庭医学教师和住院医师配备人员的社区健康中心开设了一个试点程序诊所，并付诸实施。住院医师对该经历进行了评估。
在11个月的时间里，一名教师和13名住院医师在一个社区健康中心实施了19种不同的程序，总共进行了65次操作。克服了提供服务时的一些小障碍，如最初较低的转诊率和器械短缺等问题。
住院医师一致认为，参与这个诊所增加了他们在临床实践中增加操作项目的可能性，并增强了他们对农村医疗实践的认识，但可能并未影响他们在农村地区执业的可能性。
