Cambridge Health Alliance, Cambridge, MA, USA.
Acad Psychiatry. 2012 Sep 1;36(5):380-7. doi: 10.1176/appi.ap.10080126.
The authors present what is to their knowledge the first description of a model for longitudinal third-year medical student psychiatry education.
A longitudinal, integrated psychiatric curriculum was developed, implemented, and sustained within the Harvard Medical School-Cambridge Integrated Clerkship. Curriculum elements include longitudinal mentoring by attending physicians in an outpatient psychiatry clinic, exposure to the major psychotherapies, psychopharmacology training, acute psychiatry "immersion" experiences, and a variety of clinical and didactic teaching sessions.
The longitudinal psychiatry curriculum has been sustained for 8 years to-date, providing effective learning as demonstrated by OSCE scores, NBME shelf exam scores, written work, and observed clinical work. The percentage of students in this clerkship choosing psychiatry as a residency specialty is significantly greater than those in traditional clerkships at Harvard Medical School and greater than the U.S. average.
Longitudinal integrated clerkship experiences are effective and sustainable; they offer particular strengths and opportunities for psychiatry education, and may influence student choice of specialty.
作者介绍了他们所知道的第一个纵向式三年级医学生精神病学教育模式的描述。
在哈佛医学院-剑桥综合实习课程中，开发、实施并维持了纵向综合精神病学课程。课程内容包括由门诊精神病学诊所的主治医生进行纵向指导、接触主要心理治疗方法、精神药理学培训、急性精神病学“沉浸”体验以及各种临床和教学课程。
到目前为止，纵向精神病学课程已经持续了 8 年，学生的客观结构化临床考试（OSCE）成绩、美国医师执照考试（NBME）分科考试成绩、书面作业和观察到的临床工作都证明了该课程的有效性。选择精神病学作为住院医师专业的学生比例明显高于哈佛医学院传统实习课程，也高于美国的平均水平。
纵向综合实习经历是有效的且可持续的；它们为精神病学教育提供了特殊的优势和机会，并可能影响学生的专业选择。
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