Sachdeva A K
Department of Surgery, Medical College of Pennsylvania, Philadelphia 19129.
Am J Surg. 1994 Mar;167(3):337-41. doi: 10.1016/0002-9610(94)90212-7.
The national agenda calling for an increase in the number of generalists has resulted in several curricular recommendations, ones which might seriously compromise the training of medical students in surgery. Review of the curricular needs of family physicians reveals that substantial and broad education in surgery is necessary to achieve full competency. Currently, many such curricular objectives are met through special surgical courses and rotations during postgraduate training in family medicine. The argument suggesting that close student interaction with surgeons is unnecessary, and will discourage students from entering generalist disciplines, does not take into account a number of important factors. With appropriate modifications in the core third-year surgery clerkship and inclusion of an appropriately designed fourth-year surgery subinternship, it is possible for surgical educators to provide students with the experience in surgery that is essential for the training of generalists.
要求增加全科医生数量的国家议程已经产生了多项课程建议，而这些建议可能会严重损害医学生的外科培训。对家庭医生课程需求的审查表明，要实现全面胜任，就需要在外科方面进行大量且广泛的教育。目前，许多此类课程目标是通过家庭医学研究生培训期间的特殊外科课程和轮转来实现的。那种认为学生与外科医生密切互动不必要且会阻碍学生进入全科领域的观点，没有考虑到一些重要因素。通过对三年级核心外科实习进行适当调整，并纳入精心设计的四年级外科高级实习，外科教育工作者有可能为学生提供对外科培训至关重要的外科经验。
