Graduate Department of Rehabilitation Science, University of Toronto, 200 Elizabeth Street, Toronto,Ontario, Canada.
Med Teach. 2013 Jun;35(6):444-53. doi: 10.3109/0142159X.2012.737968. Epub 2012 Dec 11.
Since a disproportionate amount of medical education still occurs in hospitals, there are concerns that medical school graduates are not fully prepared to deliver efficient and effective care in ambulatory settings to increasingly complex patients.
To understand the current extent of scholarship in this area.
A scoping review was conducted by searching electronic databases and grey literature sources for articles published between 2001 and 2011 that identified key challenges and models of practice for undergraduate teaching of ambulatory care. Relevant articles were charted and assigned key descriptors, which were mapped onto Canadian recommendations for the future of undergraduate medical education.
Most of the relevant articles originated in the United States, Australia, or the United Kingdom. Recommendations related to faculty development, learning contexts and addressing community needs had numerous areas of scholarly activity while scholarly activity was lacking for recommendations related to inter-professional practice, the use of technology, preventive medicine, and medical leadership.
Systems should be established to support education and research collaboration between medical schools to develop best practices and build capacity for change. This method of scoping the field can be applied using best practices and recommendations in other countries.
由于相当一部分医学教育仍然在医院进行，人们担心医学院毕业生在为日益复杂的患者提供高效、有效的门诊护理方面没有做好充分的准备。
了解该领域目前的学术研究程度。
通过搜索电子数据库和灰色文献资源，对 2001 年至 2011 年间发表的文章进行了范围界定性回顾，这些文章确定了本科阶段门诊护理教学的主要挑战和实践模式。将相关文章制成图表，并分配关键描述符，然后将其映射到加拿大对本科医学教育未来的建议上。
大多数相关文章的来源是美国、澳大利亚或英国。与教师发展、学习环境和满足社区需求有关的建议有许多学术活动领域，而与跨专业实践、技术的使用、预防医学和医学领导力相关的建议则缺乏学术活动。
应建立系统，以支持医学院之间的教育和研究合作，制定最佳实践并为变革提供能力。这种范围界定的方法可以应用于其他国家的最佳实践和建议。
