Catalanotti Jillian S, Popiel David K, Duwell Monique M, Price Jessica Hallerman, Miles Jacqueline Cole
George Washington University School of Medicine and Health Sciences, Department of Medicine, Washington, District of Columbia.
George Washington University School of Medicine and Health Sciences, Department of Medicine, Washington, District of Columbia.
Am J Prev Med. 2014 Nov;47(5 Suppl 3):S360-7. doi: 10.1016/j.amepre.2014.07.024. Epub 2014 Oct 16.
The IOM recommends public health training for all physicians. Data characterizing such training of internal medicine (IM) residents are lacking.
To describe the current state of public health education at IM residency programs, characterize programs offering public health education, and quantify interest in expanding training opportunities.
IM residency program directors from the 380 Accreditation Council for Graduate Medical Education-accredited residency programs in the U.S were invited to participate in a cross-sectional survey. Responses were received from 127 programs (33%). Data were collected July-December 2012 and analyzed in January 2013. Participants were queried on domestic public health training offered, perceived resident interest in and satisfaction with this training, and interest in expanding training.
Eighty-four respondents (66%) provide some form of public health training, but structure and content vary widely. In many programs offering public health training, few residents (<10%) receive it. Although 93 programs (73%) integrate public health into core curricula, only three topics were common to a majority of these programs. Sixty-six respondents (52%) offer clinical training at community-based health centers. Most residency program directors (90%) are very or somewhat interested in expanding their public health training.
This study characterizes the structures and content of public health training across IM residency programs. The wide range highlights the diverse definition of "public health training" used by IM residency program directors and lack of universal public health competencies required for IM physicians. Opportunities exist for collaboration among residency programs and between IM and public health educators to share best practices.
美国医学研究所建议对所有医生进行公共卫生培训。目前缺乏有关内科住院医师此类培训情况的数据。
描述内科住院医师培训项目中公共卫生教育的现状，明确提供公共卫生教育的项目特点，并量化扩大培训机会的意愿。
邀请了美国380个经毕业后医学教育认证委员会认证的内科住院医师培训项目的主任参与一项横断面调查。共收到127个项目（33%）的回复。数据于2012年7月至12月收集，并于2013年1月进行分析。调查询问了参与者提供的国内公共卫生培训情况、住院医师对此类培训的兴趣和满意度，以及扩大培训的意愿。
84名受访者（66%）提供某种形式的公共卫生培训，但培训的结构和内容差异很大。在许多提供公共卫生培训的项目中，很少有住院医师（<10%）接受该培训。虽然93个项目（73%）将公共卫生纳入核心课程，但其中大多数项目只有三个共同主题。66名受访者（52%）在社区卫生中心提供临床培训。大多数住院医师培训项目主任（90%）非常或有点有兴趣扩大其公共卫生培训。
本研究描述了内科住院医师培训项目中公共卫生培训的结构和内容。差异之大凸显了内科住院医师培训项目主任对“公共卫生培训”的不同定义，以及内科医生所需公共卫生能力缺乏普遍性。住院医师培训项目之间以及内科与公共卫生教育工作者之间存在合作机会，以分享最佳实践经验。
