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Training generalist physicians: structural elements of the curriculum.

Abstract：

:To train more generalist physicians, structural changes must be made along the continuum of medical education. Future generalists require in-depth exposure to primary care practice, with substantive experience in the longitudinal management of patient panels and the opportunity to work with successful generalist role models. Clinical training and course work must incorporate a wide range of skills and disciplines, including areas now under-emphasized, such as epidemiology, health services, and psychosocial medicine. Recommendations for structural changes to increase the generalist focus of medical education include: 1) the development within institutions of central authorities, involving departments of internal medicine, family medicine, and pediatrics, in joint efforts to foster all aspects of generalist training, including recruitment, curriculum development, community linkages, innovative approaches to training, and recognition and support for successful generalist teachers; 2) commitment of a minimum of 50% of clinical training to ambulatory care settings at both medical school and residency levels; 3) required longitudinal care experiences for all medical students and a 20% or greater time commitment to longitudinal care for internal medicine, pediatrics, and family medicine residents; and 4) increased numbers of generalist faculty and enhanced teaching skills among faculty in the outpatient environment, to guarantee increased exposure of medical students and residents to generalist role models.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Burke W,Baron RB,Lemon M,Losh D,Novack A

doi

10.1007/BF02598115

subject

Has Abstract

pub_date

1994-04-01 00:00:00

pages

S23-30

issue

4 Suppl 1

eissn

0884-8734

issn

1525-1497

journal_volume

9

pub_type

杂志文章,评审

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