Cordes D H, Rea D F, Kligman E, Eichling P
Department of Family and Community Medicine, University of Arizona, Tucson 85724, USA.
Am J Prev Med. 1995 May-Jun;11(3):145-8.
In view of the current growing interest in prevention as an integral part of health care, it is timely to consider clinical preventive medicine (CPM) training approaches that best prepare physicians to deliver appropriate and effective preventive services. During CPM training, skills residents most need to acquire include methods of counseling on health promotion and techniques for advising patients on reducing health risks by changing disease-promoting behavior. University of Arizona residents in the General Preventive Medicine program receive this training focus at Canyon Ranch, a Tucson health resort and university training site. This training is an important component of the CPM area of emphasis in the residency program. Training emphasizes risk reduction and health promotion with a large volume of patients whose aim is to effect lifestyle changes. Emphasis is placed on acquiring skills in clinical prevention. Counseling and patient education are the primary foci. Evaluation data indicate that residents' perception of the rotation's benefit to their education is high, and interest in considering practice in a similar setting is reinforced as a result of the experience. Medical educators in preventive medicine and primary care need to turn their attention to finding appropriate training sites with suitable role models to teach counseling and patient education skills.
鉴于目前人们越来越关注预防作为医疗保健不可或缺的一部分，现在是时候考虑临床预防医学（CPM）培训方法了，这些方法能让医生做好充分准备，提供恰当且有效的预防服务。在CPM培训期间，住院医师最需要掌握的技能包括健康促进咨询方法以及就通过改变促病行为来降低健康风险向患者提供建议的技巧。亚利桑那大学普通预防医学项目的住院医师在图森健康度假村及大学培训基地峡谷牧场接受此类重点培训。该培训是住院医师培训项目中CPM重点领域的重要组成部分。培训强调通过大量旨在促成生活方式改变的患者来降低风险和促进健康。重点在于掌握临床预防技能。咨询和患者教育是主要重点。评估数据表明，住院医师认为该轮转对他们的教育益处很大，并且由于这段经历，他们对在类似环境中执业的兴趣也得到了增强。预防医学和初级保健领域的医学教育工作者需要将注意力转向寻找合适的培训地点以及具备合适榜样的地方，以教授咨询和患者教育技能。
