Lowenstein S R
J Med Educ. 1978 May;53(5):397-401. doi: 10.1097/00001888-197805000-00005.
Community medicine is more difficult to teach and to learn than the traditional medical sciences. Teachers of community health have an interest in the rigors and theory of epidemiology and biostatistics, while most students plan a career in patient care. Abstractions and statistical data need not be presented unless it can be shown that these are the "physical findings" of a community and that they have value in the discovery of the etiology of disease, the prediction of risks, and the delivery of health care. Community medicine curricula must include experiential learning, with real patients and problems, in order to prove that health is affected by culture, politics, the environment, and individual behavior. If a student-physician's concern for community health is to be enduring, it must match in sophistication his skill in clinical medicine.
社区医学比传统医学科学更难教也更难学。社区卫生教师对流行病学和生物统计学的严谨性及理论感兴趣，而大多数学生则计划从事患者护理工作。除非能表明抽象概念和统计数据是社区的“实际发现”，且在疾病病因发现、风险预测和医疗保健提供方面具有价值，否则无需呈现这些内容。社区医学课程必须包括体验式学习，涉及真实患者和实际问题，以便证明健康会受到文化、政治、环境和个人行为的影响。如果医学生对社区卫生的关注想要持久，那么这种关注在复杂性上必须与他的临床医学技能相匹配。
