Charles P D, Scherokman B, Jozefowicz R F
Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Acad Med. 1999 Jan;74(1):23-6. doi: 10.1097/00001888-199901000-00012.
Neurologic disease, already common in the United States, will become even more common in the future. But presently, neurology education at the undergraduate level and in primary care residencies is declining and does not adequately train physicians to manage neurologic illness. The authors maintain that this serious problem can be partially addressed by improving the neurology education of all primary care physicians and by allowing students access to neurology specialists. The education of medical students in the basic and clinical neurosciences must be integrated into a seamless curriculum over the four years of medical education. This education experience must be taught through a team approach and must be led by both a clinician and a basic scientist. All medical students must acquire the knowledge, skills, and attitudes necessary to perform an initial evaluation of the patient with a neurologic complaint. Finally, students must understand the role and recognize the importance of the neurologist and know when consultation is needed. This continuum of neurology education must be financially supported by the institution, and course leaders who show excellence in education must be rewarded with compensation and promotion.
神经系统疾病在美国已经很常见,未来还会变得更加普遍。但目前,本科阶段以及初级保健住院医师培训中的神经学教育正在衰退,无法充分培养医生管理神经系统疾病的能力。作者认为,通过改善所有初级保健医生的神经学教育以及让学生能够接触到神经学专家,可以部分解决这个严重问题。医学生在基础和临床神经科学方面的教育必须在医学教育的四年中整合为一个无缝衔接的课程。这种教育体验必须通过团队教学法进行传授,并且必须由临床医生和基础科学家共同引领。所有医学生都必须掌握对有神经系统症状的患者进行初步评估所需的知识、技能和态度。最后,学生必须了解神经科医生的角色,认识到其重要性,并知道何时需要会诊。这种连贯的神经学教育必须得到机构的资金支持,在教育方面表现出色的课程负责人必须得到薪酬和晋升奖励。