Kumar Rajesh
Indian J Community Med. 2017 Jul-Sep;42(3):131-133. doi: 10.4103/ijcm.IJCM_18_16.
Clinical practice with community health perspective makes community medicine a unique specialty. In their health centers, community physicians not only implement disease prevention programs, assess community health needs, manage healthcare teams and advocate for health promoting policies but also diagnose and treat diseases. However, participation of community medicine faculty in the delivery of clinical care varies from place to place due to administrative constraints. Health centers attached with medical college are not dependent on community medicine faculty for clinical service as these centers have their own medical and paramedical staff; whereas, other clinical departments in medical colleges depend on their faculty for delivery of clinical care in the hospital. Consequently, a perception is gaining ground that community medicine is a para-clinical specialty. Strategies for a fixed tenured rotation of faculty in the health centers should be evolved. All faculty members of community medicine must also provide clinical care in the health centers and the quantum of clinical services provided by each one of them should be reported widely to all stakeholders. Community medicine residency programs must ensure that trainee community physicians acquire competency to deliver comprehensive primary health care (promotive, preventive, curative, and rehabilitative) in a health center.
从社区健康角度出发的临床实践使社区医学成为一门独特的专业。在其健康中心，社区医生不仅要实施疾病预防项目、评估社区健康需求、管理医疗团队并倡导促进健康的政策，还要诊断和治疗疾病。然而，由于行政限制，社区医学教员参与临床护理的情况因地而异。附属于医学院的健康中心在临床服务方面不依赖社区医学教员，因为这些中心有自己的医疗和辅助医疗人员；而医学院的其他临床科室在医院提供临床护理则依赖其教员。因此，一种观点逐渐盛行，即社区医学是一门准临床专业。应制定教员在健康中心进行固定任期轮转的策略。社区医学的所有教员也必须在健康中心提供临床护理，并且他们每个人提供的临床服务量应广泛报告给所有利益相关者。社区医学住院医师培训项目必须确保实习社区医生具备在健康中心提供全面初级卫生保健（促进、预防、治疗和康复）的能力。
