Michener J L, Parkerson G R, Munning K A, Warburton S W, Bobula J A, Estes E H
J Med Educ. 1985 Oct;60(10):764-71. doi: 10.1097/00001888-198510000-00003.
A new required clinical clerkship in family medicine at Duke University School of Medicine is described in terms of planning, implementation, and modification in response to students' evaluations. Seventy-five percent of the eight-week course involves direct clinical experience both in academic practices and community sites, and 25 percent is spent in small group seminars and workshops. Evaluations by students have been highest for the clinical experience, the clinical competence of the faculty, the teaching effectiveness of the faculty and house staff, and the overall learning experience. The ratings have been lowest for seminars, workshops, and required written projects. Several modifications made in the clerkship over a three-year period have raised the students' ratings to near their ratings of the five traditional clerkships. The data demonstrate that family medicine can be taught effectively as a core clinical rotation and can broaden the general education of medical students.
本文描述了杜克大学医学院新设的一门家庭医学必修临床实习课程，内容涉及课程规划、实施以及根据学生评价进行的调整。这门为期八周的课程，75%的时间用于在学术机构和社区场所进行直接临床实践，25%的时间用于小组研讨和工作坊。学生对临床实践、教员的临床能力、教员和住院医师的教学效果以及整体学习体验的评价最高。对研讨课、工作坊和必修书面作业的评分最低。在三年时间里，该实习课程进行了多项调整，使学生评分接近他们对五门传统实习课程的评分。数据表明，家庭医学作为核心临床轮转课程能够得到有效教授，并且可以拓宽医学生的通识教育。
