Merenstein J H, Schulte J J
Family Health Center, St. Margaret Memorial Hospital, Pittsburgh, PA 15201.
Fam Med. 1990 Nov-Dec;22(6):467-73.
A new family practice residency curriculum in the format of the special requirements for residency training is proposed. This new curriculum consolidates the original principles of family practice with current developments in medical practice and changes in society. The emphasis is on increased flexibility, a competency-based curriculum, an extensive evaluation and audit system, curricular control by family practice faculty, increased ambulatory care training, a commitment to the biopsychosocial model and community-oriented primary care, and the reiteration of the basic core of medical knowledge and clinical skills.
本文提出了一种以住院医师培训特殊要求为形式的新的家庭医学住院医师培训课程。这一新课程将家庭医学的原有原则与医学实践的当前发展及社会变化相结合。重点在于提高灵活性、基于能力的课程、广泛的评估和审核系统、由家庭医学教员进行课程控制、增加门诊护理培训、致力于生物心理社会模式和以社区为导向的初级保健,以及重申医学知识和临床技能的基本核心。