Johnson A H, Fisher J V, Guy L J, Keith J A, Keller A H, Sherer L M
J Fam Pract. 1977 Feb;4(2):319-24.
The development of behavioral science in a family practice residency has first to be structured around a statement of purpose and adequate goals. These goals can only be implemented when the purely custodial function of the medical profession is rejected and the ethical responsiblity of the physician to society is allowed to direct the role innovations that must be incorporated. It is the person of the physician as a diagnostic and therapeutic tool that must be cultivated. The curriculum presented has included behavioral science conferences, a one-month behavioral science rotation, a two-month orientation program, behavioral science clinical attendings, and a personal counseling program for each resident throughout the three years of training. To be complete, such a program requires the further refinement of behavioral objectives that allow reliable evaluation and redefinition by residents and faculty.
家庭医疗住院医师培训中行为科学的发展首先必须围绕目标声明和适当的目标来构建。只有摒弃医疗行业纯粹的监护功能,并允许医生对社会的道德责任引导必须纳入的角色创新时,这些目标才能得以实现。必须培养医生作为诊断和治疗工具的个人素质。所提出的课程包括行为科学会议、为期一个月的行为科学轮转、为期两个月的入职培训计划、行为科学临床指导教师,以及在三年培训期间为每位住院医师提供的个人咨询计划。要完善这样一个计划,需要进一步细化行为目标,以便住院医师和教员能够进行可靠的评估和重新定义。