Cochella Susan, Steiner Beat D, Clinch C Randall, WinklerPrins Vince
Department of Family and Preventive Medicine, University of Utah.
Fam Med. 2014 Jun;46(6):429-32.
Consistency is needed in family medicine clerkships nationwide. The Society of Teachers of Family Medicine's (STFM) National Clerkship Curriculum (NCC) and supporting NCC website have been developed to address this need. A survey was used to measure these tools' effect and guide future improvements.
The Council of Academic Family Medicine's (CAFM) Educational Research Alliance (CERA) 2012 survey of clerkship directors (CD) was used to answer two research questions: (1) To what extent are clerkships teaching the minimum core curriculum? and (2) What resources do clerkship directors identify as important in their role?
The survey response rate was 66% (88/134). Ninety-two percent of these CDs are aware of the NCC, 74% report having visited the NCC website, and 71% plan to visit it more than once per year in the future. A total of 21.6% strongly agree that their clerkship content matches the NCC. CDs rate the quality of materials on the website as high and place greatest value on materials that can be downloaded and adapted to their clerkships.
STFM's NCC website and materials are familiar to CDs although only one in five state their clerkship curriculum matches the NCC minimum core curriculum. The NCC editorial board needs to better understand why so few teach curriculum that closely matches the minimum core. Continued outreach to CDs can answer this question and improve our ability to support CDs as they incorporate the NCC into family medicine clerkships.
全国范围内的家庭医学实习需要保持一致性。家庭医学教师协会（STFM）的全国实习课程（NCC）及配套的NCC网站正是为满足这一需求而开发的。一项调查被用于评估这些工具的效果并指导未来的改进。
学术家庭医学理事会（CAFM）教育研究联盟（CERA）2012年对实习主任（CD）的调查被用于回答两个研究问题：（1）实习在多大程度上教授了最低核心课程？（2）实习主任认为在其工作中哪些资源很重要？
调查回复率为66%（88/134）。这些实习主任中有92%知晓NCC，74%报告曾访问过NCC网站，71%计划未来每年访问不止一次。共有21.6%的人强烈认同他们的实习内容与NCC相符。实习主任们对网站材料的质量评价很高，最看重可下载并能根据其实习进行调整的材料。
尽管只有五分之一的人表示他们的实习课程与NCC最低核心课程相符，但实习主任们对STFM的NCC网站及材料很熟悉。NCC编辑委员会需要更好地理解为何如此少的人教授与最低核心课程紧密匹配的课程。持续与实习主任进行沟通可以回答这个问题，并提高我们在他们将NCC纳入家庭医学实习时为其提供支持的能力。
