AMBULATORY MEDICAL-EDUCATION - A RECONSIDERATION OF SITES AND TEACHERS

被引:25
作者
HALPERIN, AK
KAUFMAN, A
机构
[1] General Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico
[2] Department of Family, Community, and Emergency Medicine
[3] University of New Mexico School of Medicine, Albuquerque, New Mexico
[4] New Mexico School of Medicine, ACOS for Ambulatory Care, VA Hospital, Albuquerque, New Mexico, 87108, 2100 Ridgecrest Drive, S.E.
关键词
ambulatory care; education; residents; teachers;
D O I
10.1007/BF02600436
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This paper deals with the varied sites and teachers that can and should be used in educating residents and medical students in ambulatory care. A basic premise is that sites other than academic medical centers and teachers other than physician faculty members should be among those used. The paper describes how institutions have used nontraditional sites and teachers. Then, after emphasizing the need to choose settings according to curricular objectives, it discusses teaching sites, both hospital-based (general medical, specialty, and multidisciplinary clinics) and community-based (home care settings, rural clinics, nursing homes, and community clinics). Next it describes the array of current and potential teachers, which includes generalist and specialist physician faculty members, community physicians, residents, and allied personnel such as pharmacists and nurses. The paper also discusses forces resisting and supporting the use of new sites and teachers. It ends with general recommendations. © 1990, Society of General Internal Medicine. All rights reserved.
引用
收藏
页码:S35 / S44
页数:10
相关论文
共 12 条
  • [1] Strelnick A.H., Bateman W.B., Jones C., Shepard S.D., Massod R.J., Townsend J.M., Graduate primary care: a collaborative alternative for family practice, internal medicine, and pediatrics, Ann Intern Med, 109, (1988)
  • [2] Rosenblatt R.A., Current successes in medical education beyond the bedside, J Gen Intern Med, 3, (1988)
  • [3] Implementing problem-based medical education: lessons from successful innovations, (1985)
  • [4] Kantrowitz M., Kaufman A., Mennin S., Fulop T., Guilbert J-J, Innovative tracks at established institutions for the education of health personnel: an experimental approach to change relevant to health needs, (1987)
  • [5] Voorhees J.D., Kaufman A., Heffron W., Et al., Teaching preclinical medical students in a clinical setting, J Fam Pract, 5, (1977)
  • [6] Voorhees J.D., Bennett M.C., Counsellor A., Extended community preceptorship: problem-based learning in the field, Implementing problem-based medical education: lessons from successful innovations, (1985)
  • [7] Kaufman A., Mennin S., Waterman R., Et al., The New Mexico experiment: educational innovation and institutional change, Acad Med, 64, (1989)
  • [8] Brook R.H., Fink A., Kosecoff J., Et al., Educating physicians and treating patients in the ambulatory setting: where are we going and how will we know when we arrive?, Ann Intern Med., 107, (1987)
  • [9] Young R., Frieberg E., Stringham P., The home visit in the multidisciplinary teaching of primary care physicians, J Med Educ, 56, (1981)
  • [10] Mennin S.P., Kaufman A., The change process in medical education, Med Teacher, 11, pp. 9-16, (1989)