Cristoffanini A P
Educ Med Salud. 1982;16(2):134-50.
This article reviews the origin of internship for medical school graduates since the beginning of the last century in France and later in English-speaking countries. In Latin America, though clinical instruction in hospitals was made a part of the last years of training as early as 1920 and 1930, not until the 1950s, did it become a requirement for graduation at most medical schools. The author examines internship in relation to different curricula and describes its use based on the model adopted by the Medical School of Austral University in Chile, where it is considered the time for practical application of the knowledge gained in preclinical and clinical training, and where the student finishes acquiring skills and forms the clinical judgment needed to practice medicine later on. Mentioned as specific aims of internship in connection with clinical instruction are general medicine, the diagnosis and management of the prevailing pathology, the development of basic techniques for clinical examination, laboratory testing, and therapeutic prescription, and the ability to deal with clinical emergencies. Lastly, there is a discussion of a series of procedures used to evaluate performance during the internship stage.
本文回顾了自上世纪初起法国以及后来英语国家医学院毕业生实习制度的起源。在拉丁美洲,尽管早在1920年和1930年医院临床教学就已成为最后几年培训的一部分,但直到20世纪50年代,它才成为大多数医学院毕业的一项要求。作者探讨了实习与不同课程的关系,并以智利澳大尔大学医学院采用的模式为例描述了实习的作用。在该模式中,实习被视为将临床前和临床培训中所学知识进行实际应用的阶段,学生在此阶段完成技能的培养,并形成日后行医所需的临床判断力。与临床教学相关的实习具体目标包括普通医学、常见病理的诊断与管理、临床检查、实验室检测和治疗处方等基本技术的发展,以及应对临床急症的能力。最后,讨论了一系列用于评估实习阶段表现的程序。