Higgins P M
United Medical School, Guy's Hospital, London, UK.
Med Educ. 1989 Nov;23(6):504-11. doi: 10.1111/j.1365-2923.1989.tb01576.x.
The development of teaching in general practice at Guy's Hospital Medical School is described. Important features of the current programme (a new programme for the United Schools of Guy's and St Thomas' Hospitals will come into effect this year) are the emphasis on learning directly from patients and the active role and responsibility given to clinical students. Students welcome the opportunities to see patients first, to deal with undifferentiated problems, to work with one clinical teacher, to put to use knowledge and skills and to test themselves as clinicians. In these circumstances they gain confidence and display the human qualities required of doctors. An acceptable service to patients, the essential basis for effective clinical teaching, requires the general practitioner teachers devote more of their time to service than to clinical teaching.
本文描述了盖伊医院医学院全科医学教学的发展情况。当前课程（今年，盖伊医院和圣托马斯医院联合学院的新课程将生效）的重要特点是强调直接向患者学习，以及赋予临床学生积极的角色和责任。学生们欢迎有机会先看诊患者、处理未分化的问题、与一位临床教师合作、运用知识和技能，并作为临床医生进行自我检验。在这种情况下，他们获得了信心，并展现出医生所需的人文素养。为患者提供可接受的服务是有效临床教学的基本基础，这要求全科医生教师将更多时间投入到服务而非临床教学中。
