Jaffe A, Armstrong E G, Robbins A C, Froom J
Med Educ. 1984 May;18(3):159-63. doi: 10.1111/j.1365-2923.1984.tb00997.x.
A 6-week family medicine clerkship that is comprehensive in its approach to the academic base of family medicine and in its integration of clinical and didactic experiences is discussed. The goals of the clerkship are to enable students to: acquire knowledge of common illnesses in ambulatory care; integrate compassion, concern and empathy in the delivery of comprehensive and personalized care; and to experience the medical and social issues of family medicine. The curriculum includes 50 hours of didactic preparation in the family life cycle, common illnesses, patient interviewing, problem-oriented medical records, genograms . compliance, and clinical problem-solving. Clinical experiences include placement in a family practice centre, an experience in a drug-abuse treatment centre and a brief rotation in geriatric medicine. Students are evaluated on their performance in clinical settings and in an objective test of primary care concepts. Test performance shows significant growth from student pre- to post-test scores. Student evaluations have been very favourable toward the clerkship, and self-reports reveal growth in knowledge of common illnesses, problems of the elderly, problems of drug abuse and the role of the family doctor.
本文讨论了一个为期6周的家庭医学实习项目，该项目在家庭医学学术基础的教学方法以及临床与理论教学经验的整合方面都很全面。该实习项目的目标是使学生能够：掌握门诊常见疾病的知识；在提供全面和个性化护理时融入同情心、关怀和同理心；体验家庭医学中的医疗和社会问题。课程包括50小时关于家庭生命周期、常见疾病、患者访谈、问题导向型病历、系谱图、依从性以及临床问题解决等方面的理论教学。临床经验包括在家庭医疗中心实习、在药物滥用治疗中心实习以及在老年医学领域进行短期轮转。学生将在临床环境中的表现以及初级保健概念的客观测试中接受评估。测试成绩显示学生从测试前到测试后的分数有显著提高。学生对该实习项目的评价非常积极，自我报告显示他们在常见疾病知识、老年人问题、药物滥用问题以及家庭医生角色等方面的知识有所增长。
