Schenk M, Popp S M, Neale A V, Demers R Y
Department of Family Medicine, Wayne State University School of Medicine, Detroit, Michigan 48201, USA.
Acad Med. 1996 May;71(5):499-501. doi: 10.1097/00001888-199605000-00022.
The Institute of Medicine has recommended basic clinical competence in environmental medicine (EM) for all physicians. However, the amount and content of instruction in EM currently offered in U.S. medical schools is unknown.
This cross-sectional study was based on responses to a questionnaire regarding the EM curriculum content of U.S. medical schools, mailed in June 1994 with the Association of American Medical Colleges curriculum survey.
Of the 126 schools, 119 (94%) responded. Of these, 29 (24%) reported no required EM content in the curriculum. Schools with EM content averaged seven hours of instruction. Eighty-one schools (68%) had faculty with environmental and occupational medicine expertise, primarily within the departments of medicine, preventive medicine, and family medicine.
There is a need for increased instruction in EM in medical school curricula for students to acquire the knowledge and skills to prevent, diagnose, and treat health problems with an environmental exposure component. For those schools without EM content in the curriculum, the necessary expertise to develop EM curriculum may be available in current faculty.
美国医学研究所建议所有医生具备环境医学（EM）的基本临床能力。然而，目前美国医学院校提供的环境医学教学量和教学内容尚不清楚。
这项横断面研究基于对一份关于美国医学院校环境医学课程内容问卷的回复，该问卷于1994年6月随美国医学院协会课程调查一同邮寄。
126所学校中，119所（94%）做出了回复。其中，29所（24%）报告课程中没有要求的环境医学内容。设有环境医学内容的学校平均授课时长为7小时。81所学校（68%）拥有具备环境与职业医学专业知识的教员，主要分布在内科、预防医学和家庭医学系。
医学院校课程中需要增加环境医学教学，以便学生获得预防、诊断和治疗与环境暴露相关健康问题的知识和技能。对于那些课程中没有环境医学内容的学校，当前教员可能具备开发环境医学课程所需的专业知识。
