Kligman E W, Hale F, Feldhausen J
Department of Family and Community Medicine, University of Arizona, College of Medicine, Tucson 85719.
Fam Med. 1990 Jul-Aug;22(4):279-83.
The value of integrating preventive medicine into primary care is widely accepted, although practical teaching methods to model this integration into medical student clerkships are not well developed. This paper reports on a competency-based clinical preventive medicine curriculum developed within an existing family medicine clinical clerkship. Evaluation of the curriculum during its first full year of implementation shows that students can significantly improve their perceived levels of competence in discussing specific healthy behaviors and risk factors as well as their fund of knowledge in preventive medicine content areas. However, the greatest effect of the curriculum was on increasing students' knowledge of basic health promotion concepts. Results from this clerkship suggest that collaborative efforts to integrate clinical preventive medicine into primary care education and to support the teaching of health promotion and disease prevention in clinical clerkships can be successful.
将预防医学融入初级保健的价值已得到广泛认可，尽管将这种整合模式应用于医学生临床实习的实用教学方法尚未得到充分发展。本文报告了在现有的家庭医学临床实习中开发的基于能力的临床预防医学课程。该课程在实施的第一年进行的评估表明，学生在讨论特定健康行为和风险因素时的自我感知能力水平以及预防医学内容领域的知识储备都能得到显著提高。然而，该课程最大的效果是增加了学生对基本健康促进概念的了解。这次临床实习的结果表明，将临床预防医学融入初级保健教育并在临床实习中支持健康促进和疾病预防教学的合作努力是可以成功的。
