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马里兰大学将预防医学纳入临床医学课程的经验。

The University of Maryland experience in integrating preventive medicine into the clinical medicine curriculum.

作者信息

Havas S, Rixey S, Sherwin R, Zimmerman S I, Anderson S

机构信息

Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore 21201.

出版信息

Public Health Rep. 1993 May-Jun;108(3):332-9.

PMID:8497571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1403384/
Abstract

Lifestyle risk factors play a major role in the etiology of premature mortality, morbidity, and disability in the United States. Numerous professional groups as well as the Surgeon General of the Public Health Service have recommended that increased attention be devoted to training medical students and physicians to improve their knowledge and skills in health promotion and disease prevention. Such training is critical for attaining many of the "Healthy People 2000" objectives. For a variety of reasons, however, most medical schools have had difficulty in successfully integrating preventive medicine into their clinical curriculums. This article describes the critical elements that allowed the faculty at the University of Maryland School of Medicine to accomplish this goal through its fourth year clinical preventive medicine course. The strategies employed in this course may serve as a model for other institutions to achieve the integration of preventive medicine into their clinical curriculums.

摘要

生活方式风险因素在美国过早死亡、发病和残疾的病因中起着主要作用。众多专业团体以及公共卫生服务局局长都建议,应更加重视培训医学生和医生,以提高他们在健康促进和疾病预防方面的知识和技能。此类培训对于实现许多“2000年健康人群”目标至关重要。然而,由于种种原因,大多数医学院校在将预防医学成功纳入其临床课程方面存在困难。本文介绍了马里兰大学医学院的教员通过其四年级临床预防医学课程实现这一目标的关键要素。本课程采用的策略可作为其他机构将预防医学纳入其临床课程的典范。

相似文献

1
The University of Maryland experience in integrating preventive medicine into the clinical medicine curriculum.马里兰大学将预防医学纳入临床医学课程的经验。
Public Health Rep. 1993 May-Jun;108(3):332-9.
2
Strengthening public health medicine training for medical students: development and evaluation of a lifestyle curriculum.加强医学生的公共卫生医学培训:生活方式课程的开发与评估。
Med Teach. 2008;30(9-10):e196-218. doi: 10.1080/01421590802334267.
3
Health promotion beliefs and practices of fourth-year medical students.四年级医学生的健康促进观念与行为
Am J Prev Med. 1990 Mar-Apr;6(2):106-11.
4
Strategies for integrating clinical preventive medicine into family medicine clerkships.将临床预防医学纳入家庭医学实习的策略。
Fam Med. 1990 Jul-Aug;22(4):279-83.
5
An enhancement strategy for integration of population health into medical school education: employing the framework developed by the Healthy People Curriculum Task Force.将人群健康纳入医学院校教育的强化策略:运用“健康人民课程工作组”制定的框架。
Acad Med. 2008 Apr;83(4):345-51. doi: 10.1097/ACM.0b013e318166a9ec.
6
Meanwhile back at the ranch: training residents in clinical preventive medicine.与此同时,在牧场这边:培训住院医师临床预防医学知识。
Am J Prev Med. 1995 May-Jun;11(3):145-8.
7
Residency education, preventive medicine, and population health care improvement: the Dartmouth-Hitchcock Leadership Preventive Medicine approach.住院医师培训、预防医学与人群医疗保健改善:达特茅斯-希区柯克领导力预防医学方法
Acad Med. 2008 Apr;83(4):390-8. doi: 10.1097/ACM.0b013e3181667da9.
8
Teaching population health as a basic science at Harvard Medical School.在哈佛医学院将人群健康作为一门基础科学进行教学。
Acad Med. 2008 Apr;83(4):332-7. doi: 10.1097/ACM.0b013e318166a62a.
9
The postgraduate education of physicians in preventive medicine.预防医学医师的研究生教育。
Am J Prev Med. 1986 Jul-Aug;2(4):216-9.
10
The MD-MPH program at the University of North Carolina at Chapel Hill.北卡罗来纳大学教堂山分校的医学博士-公共卫生硕士项目。
Acad Med. 2008 Apr;83(4):371-7. doi: 10.1097/ACM.0b013e318166a848.

本文引用的文献

1
The physician's role in health promotion--a survey of primary-care practitioners.医生在健康促进中的角色——对基层医疗从业者的一项调查。
N Engl J Med. 1983 Jan 13;308(2):97-100. doi: 10.1056/NEJM198301133080211.
2
Prevention and health promotion in primary care: baseline results on physicians from the INSURE Project on Lifecycle Preventive Health Services.初级保健中的预防与健康促进:生命周期预防性健康服务保险项目中医生的基线结果
Prev Med. 1984 Sep;13(5):535-48. doi: 10.1016/0091-7435(84)90022-7.
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Sick individuals and sick populations.患病个体与患病群体。
Int J Epidemiol. 1985 Mar;14(1):32-8. doi: 10.1093/ije/14.1.32.
4
Are physicians advising smokers to quit? The patient's perspective.医生是否在建议吸烟者戒烟?患者的观点。
JAMA. 1987 Apr 10;257(14):1916-9.
5
Health promotion: physicians' beliefs, attitudes, and practices.健康促进:医生的信念、态度和实践。
Am J Prev Med. 1986 Mar-Apr;2(2):82-8.
6
Family practice residents' compliance with preventive medicine recommendations.家庭医学住院医师对预防医学建议的依从性。
Am J Prev Med. 1988 May-Jun;4(3):161-5.
7
Status of the 1990 physical fitness and exercise objectives--evidence from NHIS 1985.1990年体质与锻炼目标的现状——来自1985年美国国家健康访谈调查的证据
Public Health Rep. 1986 Nov-Dec;101(6):587-92.
8
Healthy people 2000.
N Engl J Med. 1990 Oct 11;323(15):1065-7. doi: 10.1056/NEJM199010113231511.
9
The Association of Teachers of Preventive Medicine's recommendations for postgraduate education in prevention.
Acad Med. 1991 Jun;66(6):317-20. doi: 10.1097/00001888-199106000-00003.
10
Implementing the Association of Teachers of Preventive Medicine's recommendations into the undergraduate medical school curriculum.将预防医学教师协会的建议纳入本科医学院课程。
Acad Med. 1991 Jun;66(6):312-6. doi: 10.1097/00001888-199106000-00002.