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布朗大学沃伦阿尔珀特医学院的初级保健-人群医学项目。

The Primary Care-Population Medicine Program at The Warren Alpert Medical School of Brown University.

作者信息

George Paul, Tunkel Allan R, Dollase Richard, Gruppuso Philip, Dumenco Luba, Rapoza Brenda, Borkan Jeffrey

机构信息

Director of the Primary Care-Population Medicine Program and Associate Professor of Family Medicine, Department of Family Medicine, and Office of Medical Education, The Warren Alpert Medical School of Brown University, Providence, RI.

Associate Dean for Medical Education and Professor of Medicine and Medical Science, Office of Medical Education and Department of Medicine, The Warren Alpert Medical School of Brown University, Providence, RI.

出版信息

R I Med J (2013). 2015 Sep 1;98(9):16-21.

Abstract

The United States healthcare system has been in a period of rapid evolution over the past decade, a trend that is anticipated to continue for the foreseeable future. Physicians are increasingly responsible for the quality of care they provide, and are being held accountable not just for the patient in front of them, but also for the outcomes of their patient panels, communities, and populations. In response to these changes, as well as the projected shortage of primary care physicians, the Warren Alpert Medical School of Brown University (AMS) developed the Primary Care-Population Medicine (PC-PM) program, which builds upon the traditional curriculum with major integrated curricular innovations. The first is a Master of Science Degree in Population Medicine that requires students to take nine additional courses over four years, complete a thesis project focused on an area of Population Medicine, and take part in significant leadership training. Another significant innovative element is the development of a Longitudinal Integrated Clerkship (LIC) during the 3rd year of medical school in which the students complete a longitudinal outpatient experience with the same preceptors and patients. During the LIC students will follow a panel of patients wherever care is provided, while focusing on population health and healthcare delivery issues, in addition to medical topics throughout their clinical and didactic experiences. Though several of the innovative elements are being piloted, the inaugural PC-PM class of up to 24 students will only begin in August 2015. While the outcomes from this program will not be known for many years, the potential impact of the program is significant for AMS, medical education, and the future of healthcare delivery.

摘要

在过去十年中,美国医疗保健系统一直处于快速发展时期,预计这一趋势在可预见的未来还将持续。医生越来越对他们所提供的医疗质量负责,不仅要对眼前的患者负责,还要对其患者群体、社区和全体居民的治疗结果负责。为应对这些变化以及预计的初级保健医生短缺问题,布朗大学沃伦·阿尔珀特医学院(AMS)开发了初级保健-人群医学(PC-PM)项目,该项目在传统课程的基础上进行了重大的课程综合创新。第一个创新是人口医学理学硕士学位,要求学生在四年内额外修读九门课程,完成一个专注于人口医学领域的论文项目,并参加重要的领导力培训。另一个重要的创新元素是在医学院第三年开发的纵向综合实习(LIC),学生在其中与相同的带教老师和患者完成一段纵向门诊实习经历。在LIC期间,学生将跟踪一组无论在何处接受治疗的患者,除了在临床和教学经历中关注医学主题外,还要关注人群健康和医疗服务提供问题。尽管其中一些创新元素正在进行试点,但首届最多24名学生的PC-PM班级将于2015年8月才开始。虽然该项目的成果在多年内都不会知晓,但该项目对AMS、医学教育以及医疗服务的未来可能产生重大影响。

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