Loxterkamp David
Northern Light Eastern Maine Medical Center Family Medicine Residency Program, Bangor, ME.
Fam Med. 2019 Jul;51(7):555-558. doi: 10.22454/FamMed.2019.633317.
After 3 decades in private practice, I joined the faculty of a nearby residency program. Like most family medicine residencies, it follows a curriculum that my physician father would have recognized: heavy emphasis on inpatient medicine; short shrift to continuity care. Despite a changing marketplace, there is still a disconnect between how we train graduates (for full spectrum care) and where they end up (in ambulatory practices). Is our identity disappearing? I contend that the primary and indispensable duty of a residency program is to model professional values and prepare residents to live and work in sustainable communities. Though the scope of practice will vary, family physicians still pride themselves in putting the needs of their patients at its center.
在私人诊所工作了30年后，我加入了附近一个住院医师培训项目的教员队伍。和大多数家庭医学住院医师培训项目一样，它遵循着一套课程体系，这套体系我当医生的父亲应该会认可：非常重视住院部医疗；对连续性护理却重视不足。尽管市场在变化，但我们培养毕业生（以提供全面护理）的方式与他们最终的去向（门诊医疗实践）之间仍然存在脱节。我们的身份正在消失吗？我认为住院医师培训项目的首要和不可或缺的职责是树立职业价值观，并让住院医师做好在可持续发展的社区生活和工作的准备。虽然执业范围会有所不同，但家庭医生仍然以将患者需求放在中心位置而自豪。
