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家庭医学在医学教育中的可能性。

Possibilities of family medicine in medical education.

作者信息

Švab Igor

机构信息

Department of family medicine, University of Ljubljana, Medical faculty Ljubljana, Poljanski nasip 58, Ljubljana, Slovenia.

出版信息

Acta Med Acad. 2012;41(1):59-63. doi: 10.5644/ama2006-124.37.

Abstract

Family medicine is a discipline that has only recently joined the academic arena. Because of this, the academic contribution of this discipline to universities has not been clarified yet. On the other hand, the medical schools suffer from well-known challenges, that have been largely known in the discussions about the crisis of academic medicine. The article explores the possibilities of mutual cooperation between family medicine and the universities. In order to profit from the qualities of academic medicine and family medicine, a partnership between the two needs to be established. It should be built on acceptance of differences and adaptation of family medicine to the rules of the academia, which should be done without sacrificing its principles. The author describes three potential scenarios how family medicine can be introduced in the undergraduate curriculum: a) as a subject at the end of the curriculum, b) as collaboration in early patient contact and teaching clinical skills and c) as part of the integrated curriculum. The author concludes that both family medicine and the medical school have a lot to benefit from mutual cooparation. This requires compromises that are not always easy.

摘要

家庭医学是一门直到最近才进入学术领域的学科。正因如此,该学科对大学的学术贡献尚未明确。另一方面,医学院面临着一些众所周知的挑战,这些挑战在关于学术医学危机的讨论中已广为人知。本文探讨了家庭医学与大学之间相互合作的可能性。为了从学术医学和家庭医学的特质中获益,两者之间需要建立伙伴关系。这种伙伴关系应建立在接受差异以及使家庭医学适应学术规则的基础上,且不应牺牲其原则。作者描述了在本科课程中引入家庭医学的三种潜在方案:a)作为课程末尾的一门学科;b)在早期患者接触和临床技能教学中进行合作;c)作为综合课程的一部分。作者得出结论,家庭医学和医学院都能从相互合作中受益匪浅。这需要做出一些并非总是容易的妥协。

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