Rosenberg S N, Schorow M, Haynes M L
Public Health Rep. 1978 Nov-Dec;93(6):673-7.
An experimental course for third-year medical students, held at Columbia University, was aimed at enlisting larger numbers of future clinicians in the identification of public health problems and the development of nonclinical interventions, such as environmental and health education strategies. The course sought to develop a new perspective for the analysis of clinical observations. Students chose clinical problems, identified factors influencing incidence or prevalence, or both, and devised intervention strategies while working in a district of the New York City Department of Health. Students found that they could carry out their responsibilities only by going beyond the limitations of care for individual patients and clinical medicine. Students' perceptions and behaviour were measured during periods of their clinical training. Those who had taken the experimental course perceived public health problems and suggested and took corrective actions much more frequently than students in control groups.
在哥伦比亚大学为三年级医学生开设的一门实验课程，旨在吸引更多未来的临床医生参与识别公共卫生问题以及制定非临床干预措施，如环境和健康教育策略。该课程试图为临床观察分析开拓新视角。学生们选择临床问题，确定影响发病率或患病率或两者的因素，并在纽约市卫生部的一个区开展工作时设计干预策略。学生们发现，只有超越对个体患者的护理和临床医学的局限，才能履行自己的职责。在临床培训期间对学生的认知和行为进行了测量。参加实验课程的学生比对照组的学生更频繁地察觉到公共卫生问题，并提出并采取了纠正措施。
