Boufford J I
Ann Intern Med. 1977 Sep;87(3):359-68. doi: 10.7326/0003-4819-87-3-359.
The training of physicians for the delivery of primary care is becoming a national priority. The period of residency training is viewed by many as the focal point for educational change to meet this demand. The Residency Program in Social Medicine at Montefiore Hospital and Medical Center was begun in 1970 and offers primary care residency training toward board eligibility in internal medicine, pediatrics, or family practice. The pairing concept of scheduling guarantees the resident a continuity of care experience for his own panel of patients at the ambulatory site. The hospital and the ambulatory site share the cost of residents' salaries. Primary care curriculum for clinical and clinical-support areas, delivery-site design, and faculty-utilization models must all be uniquely suited to the training of the future primary care practitioner. Resident recruitment and selection and the involvement of residents in the management of the residency program are crucial features of program success and training for future practice.
培养能够提供初级医疗服务的医生正成为一项国家优先事项。许多人认为住院医师培训阶段是实现这一需求的教育变革的重点。蒙特菲奥里医院和医疗中心的社会医学住院医师项目始于1970年，提供内科、儿科或家庭医学领域的初级医疗住院医师培训，以获得委员会认证资格。排班的配对概念确保住院医师在门诊为自己负责的患者群体提供连续的护理体验。医院和门诊分担住院医师的工资费用。临床和临床支持领域的初级医疗课程、服务提供地点设计以及教员使用模式都必须特别适合未来初级医疗从业者的培训。住院医师的招募与选拔以及住院医师参与住院医师项目的管理是项目成功及未来执业培训的关键特征。
