Yano B, Markoff R, Alexander L, Hicks R
Med Educ. 1981 Mar;15(2):116-21. doi: 10.1111/j.1365-2923.1981.tb02408.x.
Clinical clerkships in psychiatry are traditionally based on in-patient services and thus limit student exposure in the main to seriously ill psychiatric patients. Such clerkships have been criticized as having questionable relevance to the primary care careers which are increasingly selected by medical students. The present paper describes a clerkship in which half the students are taught on a traditional in-patient service while half go to a special medical-psychiatric unit. In the latter situation, medical and psychiatric patients are housed together and consultation-liaison experiences play a prominent part in the students' experience. Some comparative data are presented which suggest that the two clerkship experiences are equally satisfactory to the students. It is concluded that a psychiatric clerkship utilizing settings and experiences which are close in character to primary care is educationally feasible.
传统上，精神病学临床实习以住院服务为基础，因此学生主要接触的是重症精神病患者。这类实习受到批评，因为它们与医学生越来越倾向选择的初级保健职业的相关性存疑。本文描述了一种实习安排，其中一半学生在传统住院服务中接受教学，而另一半则前往一个特殊的医学 - 精神病科病房。在后一种情况下，内科和精神科患者住在一起，会诊 - 联络经验在学生的实习经历中占突出部分。文中给出的一些比较数据表明，这两种实习经历对学生来说同样令人满意。得出的结论是，利用与初级保健性质相近的环境和经历进行精神病学实习在教育上是可行的。
