Donsky J, Massad R
J Fam Pract. 1979 May;8(5):965-71.
Family practice residency programs are encouraged to include community medicine training in their curriculum, but there is little agreement as to what community medicine is or what would constitute appropriate training. Community medicine is most commonly defined as a discipline concerned with the identification and solution of health care problems of communities or other defined populations. The inclusion of training experiences in the identification and solution of health care problems of communities has two basic advantages for family practice residency programs: it fosters a contextual approach in the care of individual patients and it builds knowledge and skills for those who will work with communities in future practices. An example of curricular content is included. A survey was conducted in order to determine what residency programs teach in the field of community medicine. The results show that few of the responding programs include the areas which most clearly relate to community medicine. It is hoped that the report of these results, the rationale presented for including community medicine in the training of family physicians, and the suggested outline of curricular content will further encourage and assist family practice residency programs to incorporate such training in their curricula.
家庭医学住院医师培训项目被鼓励在其课程中纳入社区医学培训，但对于什么是社区医学以及什么构成适当的培训，几乎没有达成共识。社区医学最常被定义为一门关注识别和解决社区或其他特定人群的医疗保健问题的学科。将识别和解决社区医疗保健问题的培训经验纳入家庭医学住院医师培训项目有两个基本优势：它促进了对个体患者的情境化护理方法，并且为那些未来将在社区工作的人培养了知识和技能。文中包含了课程内容的一个示例。为了确定住院医师培训项目在社区医学领域教授哪些内容，进行了一项调查。结果显示，很少有回应的项目涵盖与社区医学最明显相关的领域。希望这些结果的报告、为在家庭医生培训中纳入社区医学所阐述的基本原理以及建议的课程内容大纲，将进一步鼓励并协助家庭医学住院医师培训项目将此类培训纳入其课程。
