Alpert E J, Sege R D, Bradshaw Y S
Boston University School of Medicine, MA 02118, USA.
Acad Med. 1997 Jan;72(1 Suppl):S41-50.
Physicians in every field of practice can expect to be called upon to care for patients whose lives have been affected by interpersonal violence. Although the medical profession has begun to acknowledge the appropriate role of physicians in screening, diagnosis, and treatment of interpersonal violence, these areas have not been fully addressed in the curricula of most medical schools. Competencies in the understanding of violence and its treatment are proposed for medical students, residents, and practicing physicians. By the time of graduation, all medical students should be able to demonstrate appropriate attitudes, core knowledge, and basic skills in assessment and intervention of patients at risk from or experiencing violence. During postgraduate training, residents should amass specialized knowledge and skill concerning the spectrum of injuries and illnesses they may encounter in clinical practice. Faculty development efforts should address the advancement of faculty who are well trained in a scholarly approach to teaching and research in this field. This paper describes methods by which educational efforts in interpersonal violence can be introduced into medical education. Proposed goals and objectives for curriculum development in schools of medicine, along with an implementation plan, are offered.
各个医疗领域的医生都可能需要照料那些生活受到人际暴力影响的患者。尽管医学界已开始认识到医生在人际暴力筛查、诊断和治疗方面的恰当作用,但在大多数医学院的课程中,这些领域尚未得到充分探讨。针对医学生、住院医师和执业医生,提出了理解暴力及其治疗方法的能力要求。到毕业时,所有医学生都应能够在评估和干预遭受暴力或面临暴力风险的患者时,展现出恰当的态度、核心知识和基本技能。在研究生培训期间,住院医师应积累有关他们在临床实践中可能遇到的各类损伤和疾病的专业知识与技能。教师发展工作应致力于提升那些在该领域教学和研究的学术方法方面接受过良好培训的教师的水平。本文描述了将人际暴力教育工作引入医学教育的方法。同时还提出了医学院校课程开发的目标及实施计划。