Miller E S
Isr J Med Sci. 1980 Mar;16(3):206-11.
The educational goals and the actual implementation of the Israeli residency program in family medicine are examined. Except for the lack of required training in gynecology, the program syllabus is based on a sophisticated concept of comprehensive care. The teaching clinics provide residents with excellent patient material and with generally adequate medical facilities; however, important equipment is occasionally lacking, and the administration of the clinic discourages thorough teaching. The instructors are experienced practitioners and highly motivated teachers; They provide excellent role models, but are unable to give the residents adequate feedback or to stimulate deeper personal insight. The residents have heavy service responsibility, but in such areas as the interview technique, pediatrics and gynecology, they fail to acquire necessary skills. Suggestions are made regarding an educational reform of the program that would entail the use of university departments of family practice to support regional networks of teaching clinics.
本文考察了以色列家庭医学住院医师培训项目的教育目标及实际实施情况。除了缺乏妇科所需培训外，该项目教学大纲基于全面护理的成熟理念。教学诊所为住院医师提供了丰富的患者资源和总体上足够的医疗设施；然而，重要设备偶尔会短缺，且诊所管理不利于深入教学。教员都是经验丰富的从业者和积极性很高的教师；他们树立了优秀的榜样，但无法给住院医师提供充分反馈或激发其更深入的个人见解。住院医师承担着繁重的服务职责，但在问诊技巧、儿科学和妇科学等领域，他们未能掌握必要技能。针对该项目的教育改革提出了建议，改革将需要利用大学家庭医学系来支持教学诊所的区域网络。
