Summerlin H H, Landis S E, Olson P R
Department of Family Medicine, School of Medicine, University of North Carolina, Chapel Hill.
Fam Med. 1993 Feb;25(2):95-9.
Medical students and residents are more likely to understand the health needs of a community if they have community-based practical experience during their training. This report describes a community-oriented educational experience for medical students and family practice residents in rural North Carolina.
Medical students and residents from the University of North Carolina at Chapel Hill and residents from Asheville spend one month in a small community in western North Carolina. During the month-long experience, these trainees live in the community and provide clinical care to patients. They also meet with local health officials, service agencies, and community organizations to learn about the community's health system. The trainees then prepare a written report about the community's health system, a community health problem identified by the trainee, and a proposal to solve the problem.
Trainees report that the rotation provides a unique opportunity to understand the health system of a community. Some of the trainee-proposed solutions to problems have been implemented by community leaders.
A community-oriented primary care rotation can provide students and residents with an important understanding of the health system and health problems of a community.
医学生和住院医师若在培训期间有基于社区的实践经验，就更有可能理解社区的健康需求。本报告描述了北卡罗来纳州农村地区医学生和家庭医学住院医师的一次以社区为导向的教育经历。
来自北卡罗来纳大学教堂山分校的医学生和住院医师以及来自阿什维尔的住院医师在北卡罗来纳州西部的一个小社区待一个月。在为期一个月的经历中，这些受训人员住在社区并为患者提供临床护理。他们还与当地卫生官员、服务机构和社区组织会面，以了解社区的卫生系统。然后，受训人员撰写一份关于社区卫生系统、受训人员确定的一个社区健康问题以及解决该问题的提议的书面报告。
受训人员报告称，这次轮转提供了一个了解社区卫生系统的独特机会。一些由受训人员提出的问题解决方案已被社区领导人实施。
以社区为导向的初级保健轮转可以让学生和住院医师对社区的卫生系统和健康问题有重要的了解。
