Egnew T R, Jones J M
J Fam Pract. 1984 Jan;18(1):107-13.
For the past two years, Tacoma Family Medicine, Tacoma, Washington. has integrated a curriculum in psychosocial aspects of coronary care with the Coronary Care Unit rotation taken by third-year residents. Goals of the curriculum are to provide information, to foster the development of psychosocial strategies for patient and family care, and to develop greater insight and awareness on the part of residents regarding the psychosocial aspects of coronary care. Attempts are made to meet these goals in a context as closely tied to the clinical management of patients and families as possible. Topics addressed include the biopsychosocial medical model, patient and family responses to cardiac illness, sexual concerns of the coronary patient and spouse, and issues related to cardiac rehabilitation. The format for the curriculum involves didactic presentations, group discussions, and case consultations.
在过去两年里，华盛顿州塔科马市的塔科马家庭医学中心，将冠心病护理心理社会方面的课程与三年级住院医师的冠心病护理病房轮转相结合。该课程的目标是提供信息，促进制定针对患者及家属护理的心理社会策略，并使住院医师对冠心病护理的心理社会方面有更深入的见解和认识。尽量在与患者及家属临床管理紧密相关的背景下实现这些目标。涉及的主题包括生物心理社会医学模式、患者及家属对心脏病的反应、冠心病患者及其配偶的性问题以及与心脏康复相关的问题。课程形式包括授课、小组讨论和病例会诊。
