Maudsley R F
Faculty of Medicine, Queen's University, Kingston, Ont.
CMAJ. 1993 May 1;148(9):1564-6.
The clinical teaching unit (CTU), a distinctively Canadian concept, has served Canadian academic medicine well over the past 30 years. Times have changed considerably since the concept was first defined by the Association of Canadian Medical Colleges in 1962. Many proposals and ideas of Evans, Chute and Morley in their description of the CTU, clinical education and the practice of medicine remain relevant today. The concept of learning by doing, under supervision, in a relatively controlled academic environment is still valid. However, we must either expand our concept of the traditional CTU to make it consistent with the contemporary broad practice of medicine or maintain the current model as complementary, but not necessarily central, to an expanded paradigm of clinical education.
临床教学单元（CTU）是一个颇具加拿大特色的概念，在过去30年里一直很好地服务于加拿大的医学学术领域。自1962年加拿大医学院协会首次定义这一概念以来，时代已经发生了很大变化。埃文斯、舒特和莫利在描述CTU、临床教育和医学实践时提出的许多提议和想法如今仍然适用。在相对可控的学术环境中，在监督下通过实践学习的理念仍然有效。然而，我们要么扩展传统CTU的概念，使其与当代广泛的医学实践相一致，要么将当前模式作为对扩展后的临床教育范式的补充，但不一定是核心部分。
