The wind of change: after the European definition--orienting undergraduate medical education towards general practice/family medicine.
The wind of change: after the European definition--orienting undergraduate medical education towards general practice/family medicine.
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DOI：
10.1080/13814780701814986
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发表时间：
2007-01-01
期刊：
影响因子：
--
通讯作者：
Yaman, Hakan
中科院分区：
文献类型：
--
作者：
Soler, Jean Karl;Carelli, Francesco;Yaman, Hakan
传统上，医学生以算法方式接受培训，重点是通过基于对适用于患者症状和体征的广泛潜在诊断列表的系统和技术调查的排除过程，通过概念化诊断来排除严重但罕见的疾病。学生不经常接触常见疾病，并轻视所有不能在严格的医学模式下解决的问题。本文反映了EURACT教育议程文件的建议，并建议通过在培训早期向学生介绍初级卫生保健，疾病和决策过程，在基础医学培训中回归医生主义。作者建议在初级保健医患接触中教授沟通技巧，探索教授医患关系的新方法，并鼓励学生和年轻医生优先考虑质量而不是数量。这会阻止目前工作量增加和倦怠的趋势吗？
Traditionally, medical students are trained in an algorithmic manner, to focus on excluding serious but rare diseases by conceptualizing diagnoses through a process of exclusion based on systematic and technological investigation of an extensive list of potential diagnoses applicable to the patient's presenting symptoms and signs. Students are not often exposed to common diseases, and trivialize all that which cannot be addressed within a strictly medical model. This paper reflects on the recommendations of the EURACT Educational Agenda document, and proposes a return to empiricism in basic medical training by introducing students to primary healthcare, disease, and decision-making processes early in their training. The authors recommend the teaching of communication skills within primary care doctor-patient encounters, the exploration of new ways of teaching the doctor-patient relationship, and that students and young doctors be encouraged to prioritize quality over quantity. Will this stem the current trends towards increasing workload and burnout?