Williams C L, Bricker J T, Hofschire P J, Riemenschneider T A, Strong W B
Department of Pediatrics, New York Medical College, Valhalla 10595.
Am J Prev Med. 1990;6(2 Suppl):84-92.
This article presents both the rationale behind and a framework for incorporating pediatric preventive cardiology into undergraduate medical education and pediatric residency training. Such education of physicians in the practice of preventive cardiology requires provision of not only didactic information but also training and practice in clinical skills. A combination of didactic lectures, small group discussions, interactive programs utilizing video tapes and computer programs, family and patient simulation, preventive cardiology clinics, and community cardiovascular health promotion activities all help to provide the optimal framework for an effective medical student and pediatric resident training program in pediatric preventive cardiology. Since pediatricians are in the best position to practice true primary prevention of cardiovascular disease beginning in childhood, it is essential that physicians in training understand the concepts and learn the skills needed to practice this critical component of pediatric medicine.
本文介绍了将儿科预防心脏病学纳入本科医学教育和儿科住院医师培训的基本原理及框架。对医生进行预防心脏病学实践方面的此类教育,不仅需要提供理论信息,还需要临床技能培训与实践。理论讲座、小组讨论、利用录像带和计算机程序的互动项目、家庭及患者模拟、预防心脏病学诊所及社区心血管健康促进活动相结合,都有助于为有效的医学生和儿科住院医师儿科预防心脏病学培训项目提供最佳框架。由于儿科医生最有条件从儿童期就开始切实开展心血管疾病的一级预防,所以接受培训的医生理解相关概念并掌握开展儿科医学这一关键组成部分所需技能至关重要。