Morse Ryan, Smith Abigail, Fitzgerald-Wolff Sharon, Stoltzfus Ky
Department of Internal Medicine, University of Kansas School of Medicine, Kansas City, KS USA.
Department of Anesthesiology and Pain Medicine, UC Davis School of Medicine, Sacramento, CA USA.
Med Sci Educ. 2020 Sep 30;30(4):1487-1493. doi: 10.1007/s40670-020-01083-z. eCollection 2020 Dec.
Population health (PH) is an important component of medical school education and is required for physicians to practice effectively. Identifying the number of medical schools teaching population health and the individual curricular components could lead to a better understanding of the current status of population health implementation into medical education.
Between February and March 2019, medical schools in the USA were surveyed about the structure and content of their population health curriculum. Differences were analyzed by school funding and class size.
Respondents were gathered from 28 (68%) public and 13 (32%) private schools; 27 (66%) schools having fewer than 150 students and 14 (34%) having greater than or equal to 150. Thirty-two schools (78%) had a structured PH curriculum. Seven (22%) only had a dedicated preclinical module and 33 (83%) had a longitudinal curriculum throughout multiple years of school. Many programs utilized flipped classroom models ( = 19, 46%); however, only 8 (20%) utilized standardized patients. Health disparities (100%), community health initiatives (88%), and preventative health guidelines (88%) are among the most commonly taught subjects. Quality improvement was taught by 34 of 41 programs (83%), but only sixteen (39%) schools required students to complete a quality improvement project.
Differences in population health curricula were found between school size and funding. As evidenced by this study, most medical schools recognize the importance of population health by including it in their curriculum and a majority are incorporating the subject longitudinally into multiple years of school.
人群健康(PH)是医学院校教育的重要组成部分,是医生有效开展医疗实践所必需的。确定讲授人群健康的医学院校数量以及各个课程组成部分,有助于更好地了解人群健康在医学教育中的实施现状。
2019年2月至3月期间,对美国的医学院校进行了关于其人群健康课程结构和内容的调查。按学校资金和班级规模分析差异。
受访者来自28所(68%)公立学校和13所(32%)私立学校;27所(66%)学校学生人数少于150人,14所(34%)学校学生人数大于或等于150人。32所学校(78%)有结构化的人群健康课程。7所(22%)仅有专门的临床前模块,33所(83%)有贯穿多年学习的纵向课程。许多课程采用了翻转课堂模式(n = 19,46%);然而,只有8所(20%)采用了标准化病人。健康差异(100%)、社区健康倡议(88%)和预防健康指南(88%)是最常讲授的科目。41个课程中有34个(83%)讲授了质量改进,但只有16所(39%)学校要求学生完成质量改进项目。
在学校规模和资金方面发现了人群健康课程的差异。正如本研究所示,大多数医学院校通过将人群健康纳入课程来认识到其重要性,并且大多数学校将该科目纵向融入多年的学习中。