Levenstein S
S Afr Med J. 1984 Oct 6;66(14):535-7.
Five years' experience of student attachment to a Cape Town general practice as part of a community medicine 'block' is described. The students found the proceedings valuable and specially mentioned that the holistic approach to patient care, continuing care and the importance of the doctor-patient relationship were issues which they had become aware of for the first time--in sharp contrast to their experience of patient care in the teaching hospital situation. Nearly all the students complained that the time allotted to their attachment and to general practice as a whole was far too short. Various aspects of attachment are discussed, e.g. the doctor's approach, the handling of students' anxieties and the doctor-student relationship. Certain inferences are drawn concerning overall undergraduate medical training.
本文描述了作为社区医学“模块”一部分,学生在开普敦一家普通诊所实习五年的经历。学生们认为这些实习过程很有价值,并特别提到,整体的患者护理方法、持续护理以及医患关系的重要性,是他们首次意识到的问题——这与他们在教学医院的患者护理经历形成了鲜明对比。几乎所有学生都抱怨,分配给他们实习以及整个普通医疗实习的时间太短。文中讨论了实习的各个方面,如医生的方法、对学生焦虑情绪的处理以及医患关系。文中还就本科医学整体培训得出了某些推论。