CURRICULUM FOR AMBULATORY CARE TRAINING IN MEDICAL RESIDENCY - RATIONALE, ATTITUDES, AND GENERIC PROFICIENCIES

被引：21

作者：

BARKER, LR

机构：

[1] Johns Hopkins University School of Medicine and the Francis Scott Key Medical Center, Baltimore, Maryland

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1990年 / 5卷 / 01期

关键词：

ambulatory care; education; interpersonal skills; residents;

D O I：

10.1007/BF02600433

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 provides a foundation for establishing curricula to train medical residents in ambulatory care. To do so, it first presents reasons that curricula are needed in this area. It then delineates attitudes and proficiencies (knowledge and skills) that such curricula should be designed to instill. Finally, it briefly discusses implications for curriculum development. Extensive tables are provided, including detailed lists of generic proficiencies that residents should attain. Among realms in which these proficiencies lie are organizing the ambulatory care encounter, using interpersonal skills, gathering information through physical examination and other means, obtaining and employing clinically useful knowledge, documenting the encounter, and planning and coordinating care. The paper notes that planning for the discharge of patients from the hospital can contribute to obtaining proficiencies important in ambulatory care. © 1990 Society of General Internal Medicine.

引用

页码：S3 / S14

页数：12

共 12 条

[1]

Mendenhall R.C., Tarlov A.R., Girard R.A., Michel J.K., Radecki S.T., A national study of internal medicine and its specialties: II. Primary care in internal medicine, Ann Intern Med, 91, pp. 275-87, (1979)

[2]

Kantor S.M., Griner P.F., Educational needs in general internal medicine as perceived by prior residents, J Med Educ, 56, pp. 748-56, (1981)

[3]

Kern D.C., Parrino T.A., Korst D.R., The lasting value of clinical skills, JAMA, 254, pp. 70-6, (1985)

[4]

Linn L.S., Brook R.H., Clark V.A., Fink A., Kosecoff J., Evaluation of ambulatory care training by graduates of internal medicine residencies, J Med Educ, 61, pp. 293-302, (1986)

[5]

McPhee S.J., Mitchell T.F., Schroeder S.A., Perez-Stable E.J., Bindman A.B., Training in a primary care internal medicine residency program, JAMA, 258, pp. 1491-5, (1987)

[6]

Perkoff G.T., Teaching clinical medicine in the ambulatory setting: an idea whose time may have finally come, N Engl J Med, 314, pp. 27-31, (1986)

[7]

Schroeder A., Showstack J.A., Gerbert B., Residency training in internal medicine: time for a change?, Ann Intern Med, 104, pp. 554-61, (1986)

[8]

Lawrence R., The goals for medical education in the ambulatory setting, J Gen Intern Med, 3, pp. 515-25, (1988)

[9]

The future internist, Ann Intern Med, 108, pp. 145-7, (1988)

[10]

Accreditation Council for Graduate Medical Education. Published in Directory of Graduate Medical Education Programs, 1989–1990, (1989)

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