Oswald N, Kassimatis M
Department of General Practice, University of Cambridge, UK.
Med Educ. 1989 Jul;23(4):322-7. doi: 10.1111/j.1365-2923.1989.tb01556.x.
This paper describes a single house officer's attachment in general practice, organized in a particular way and with specified aims. The attachment required careful planning and case-by-case supervision of the houseman. However, the extra clinical burden on the supervisor was not excessive. The attachment provided experience similar in some ways to hospital posts, but was broader in general clinical content and emphasized the continuity between primary and secondary care. Many of the important experiences could only be obtained in an attachment which involves responsibility inside and outside the hospital at the same time. We believe such attachments are a unique educational opportunity and should be strongly encouraged.
本文描述了一名住院医师在全科医疗中的实习安排,其以特定方式组织且具有明确目标。该实习需要精心规划,并对住院医师进行逐案监督。然而,对带教老师额外的临床负担并不过重。这种实习在某些方面提供了与医院岗位相似的经验,但总体临床内容更广泛,并强调了初级保健和二级保健之间的连续性。许多重要经验只有在同时涉及医院内外职责的实习中才能获得。我们认为这种实习是独特的教育机会,应大力鼓励。