Thompson R, Haber D, Fanuiel L, Krohn K, Chambers C
Department of Family Medicine, University of Texas Medical Branch, Galveston, USA.
Fam Med. 1996 May;28(5):326-30.
The practice of medicine needs to include disease prevention, health promotion, community health, and clinical epidemiology. Community-oriented primary care (COPC) can be used as an educational strategy to develop competencies in these areas.
An interdisciplinary team that included public health representatives was created to teach COPC principles to family practice residents and supervise their community projects. Allied health and nursing graduate students were also involved in the process. Projects were implemented in collaboration with community representatives.
Family practice residents and community representatives were positive about working together. The family practice residents appreciated the interdisciplinary experience and reported that the COPC model will be useful to them in the future. However, the program's didactic phase was insufficient to provide adequate skills for use of the COPC process. The program could benefit from more involvement of medical students and students in other health professions.
The program encountered several significant obstacles such as competing clinical priorities, limited health education skills, and inadequate project evaluations. Despite the challenges, the family practice residents, as well as the interdisciplinary faculty, health science graduate students, and community representatives, reported a positive experience.
医学实践需要涵盖疾病预防、健康促进、社区健康和临床流行病学。以社区为导向的初级保健（COPC）可作为一种教育策略，用于培养这些领域的能力。
组建了一个包括公共卫生代表的跨学科团队，向家庭医学住院医师传授COPC原则，并监督他们的社区项目。联合健康和护理研究生也参与了这一过程。项目与社区代表合作实施。
家庭医学住院医师和社区代表对合作持积极态度。家庭医学住院医师赞赏这种跨学科体验，并表示COPC模式对他们未来会有用。然而，该项目的教学阶段不足以提供使用COPC流程的足够技能。该项目可以从医学生和其他健康专业学生更多的参与中受益。
该项目遇到了几个重大障碍，如相互竞争的临床重点、有限的健康教育技能和不充分的项目评估。尽管存在挑战，但家庭医学住院医师以及跨学科教师、健康科学研究生和社区代表都报告了积极的体验。
