Callen W B, McClurken S
J Allied Health. 1981 Nov;10(4):267-74.
This article reviews the development of an academic training program for rural and urban community health workers. A needs assessment and job task inventory are described. The organizational and cost factors involved in the design of a decentralized training model are presented along with an outline of the formal curriculum established after pilot testing. The one-year curriculum includes three to four days per month of classroom work with equal attention paid to assessment of common medical problems and to health education and counseling. Integrated with the didactic work is a full year of practical community health training under the guidance of a licensed practitioner (physician, physician assistant, or nurse practitioner). Three program goals are identified: establishment of health career entry level training, service to minority populations, and certification for career mobility. These goals are discussed and evaluated in relation to current progress of the program.
本文回顾了针对农村和城市社区卫生工作者的学术培训项目的发展情况。文中描述了需求评估和工作任务清单。介绍了设计分散式培训模式所涉及的组织和成本因素，以及试点测试后确立的正式课程大纲。为期一年的课程包括每月三到四天的课堂学习，对常见医疗问题的评估以及健康教育与咨询给予同等关注。与理论教学相结合的是在持照从业者（医生、医师助理或执业护士）指导下进行的一整年社区卫生实践培训。确定了该项目的三个目标：开展卫生职业入门级培训、为少数族裔人群提供服务以及为职业流动提供认证。结合该项目目前的进展情况对这些目标进行了讨论和评估。
