Jones L R, Knopke H J, Parlour R R, Maxwell A J, Davis L J, Anderson R L
J Fam Pract. 1981 Apr;12(4):697-702.
Family physicians have an important role in mental health care delivery. The psychiatry and family practice faculty at the University of Alabama College of Community Health Sciences recently examined the principal elements of this role and the ways in which these elements might best be incorporated into the teaching/learning process of a family medicine residency. Competency based approaches to curriculum development were chosen to permit flexibility of implementation and to allow involved physicians to participate in definition of their mental health roles. Methods used to construct the curriculum included interviews with graduated residents of the first four classes of the program, literature review, and a modified delphi/nominal group technique with family medicine and psychiatry faculty. The result was a competency based psychiatric curriculum supervised cooperatively by both psychiatry and family medicine faculty. This program is begun early in the residency, is integrated longitudinally into the rest of the residents' curriculum, and utilizes seminars, clinical experience, and liaison with a mental health team in the training design.
家庭医生在精神卫生保健服务中发挥着重要作用。阿拉巴马大学社区卫生科学学院的精神病学和家庭医学教员最近研究了这一角色的主要要素，以及将这些要素最佳地纳入家庭医学住院医师教学/学习过程的方法。选择基于能力的课程开发方法，以实现实施的灵活性，并让相关医生参与界定他们在精神卫生方面的角色。构建课程所采用的方法包括对该项目前四届毕业住院医师的访谈、文献综述，以及与家庭医学和精神病学教员一起使用的改良德尔菲/名义小组技术。结果是形成了一个由精神病学和家庭医学教员共同监督的基于能力的精神病学课程。该项目在住院医师培训早期开始，纵向融入住院医师课程的其他部分，并在培训设计中利用研讨会、临床经验以及与精神卫生团队的联络。
