Sachdeva A K, Blair P G, Kelliher G J, Brooks A, Weiss A A, Schindler B A, Atkinson B F, Roslyn J J
Department of Surgery, Hahnemann School of Medicine, Philadelphia, PA 19129, USA.
Acad Med. 1999 Jan;74(1 Suppl):S98-101. doi: 10.1097/00001888-199901001-00039.
This article describes how the surgery clerkship at MCP Hahnemann School of Medicine was redesigned to provide all students a well-rounded general professional education and to address the specific educational needs of generalists. During the 12-week clerkship, students spend eight weeks on two different general surgery rotations, which include significant experiences in outpatient settings. The evaluation and management of common general surgical problems, as well as the holistic approach to patient care, are emphasized. A nurse educator, recruited through funding obtained from The Robert Wood Johnson Foundation's Generalist Physician Initiative, provides formal instruction in holistic care and teaches bedside procedures. Two weeks are devoted to focused surgical subspecialty experiences addressing common conditions and are conducted primarily in outpatient settings. The remaining two weeks include an integrated musculoskeletal disease rotation, including orthopaedic surgery, rheumatology, physiatry, and radiology. Didactic teaching includes criteria for referral of patients from generalists to specialists. The new clerkship model has been well received by the students. Review of student logs for the first six months indicates the breadth of surgical experience has been maintained and appropriate balance achieved between simple and complex surgical cases. Further evaluation of the model will continue through longitudinal follow-up.
本文描述了MCP哈内曼医学院的外科实习是如何重新设计的，以便为所有学生提供全面的普通专业教育，并满足全科医生的特定教育需求。在为期12周的实习期间，学生们在两个不同的普通外科轮转中度过八周，其中包括在门诊环境中的重要经历。强调对常见普通外科问题的评估和管理，以及对患者护理的整体方法。通过罗伯特·伍德·约翰逊基金会的全科医生倡议获得的资金招聘了一名护士教育工作者，她提供整体护理方面的正规教学并教授床边操作。两周时间用于针对常见病症的重点外科亚专业体验，主要在门诊环境中进行。剩下的两周包括综合肌肉骨骼疾病轮转，涉及骨科、风湿病学、物理医学与康复以及放射学。理论教学包括全科医生将患者转诊给专科医生的标准。新的实习模式受到了学生们的好评。对学生前六个月日志的审查表明，外科经验的广度得以保持，简单和复杂外科病例之间实现了适当的平衡。将通过纵向随访继续对该模式进行进一步评估。
