American College of Preventive Medicine, Washington, DC, United States of America.
University of Maryland, School of Public Health, College Park, MD, United States of America.
Prev Med. 2019 Jan;118:166-170. doi: 10.1016/j.ypmed.2018.10.015. Epub 2018 Oct 30.
The practice of preventive medicine remains ill-defined, and the specialty is threatened by a void in the definition of the specialty's practice. The authors propose a cohesive, active identification of skills provided by trained preventive medicine physicians through the credentialing and privileging process. The privileging process should incorporate clinical skills specific to the provider and non-clinical skills based on preventive medicine residency training competency requirements, preventive medicine board certification examination requirements, and the ten essential public health services. The specialty may benefit from development of clinical training based on public health clinical services as well as privileging of physicians in health organization leadership positions.
预防医学的实践仍然缺乏明确的定义,该专业正受到专业实践定义空白的威胁。作者通过认证和特权程序,提出了一个连贯的、积极的方法来确定经过培训的预防医学医生提供的技能。特权程序应包括基于提供者的临床技能和基于预防医学住院医师培训能力要求、预防医学委员会认证考试要求以及十大公共卫生服务的非临床技能。该专业可能受益于基于公共卫生临床服务的临床培训的发展,以及在卫生组织领导职位上赋予医生特权。