Identifying public health competencies relevant to family medicine.
Identifying public health competencies relevant to family medicine.
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DOI：
10.1016/j.amepre.2011.06.002
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发表时间：
2011-10
影响因子：
5.5
通讯作者：
Iglar KT
中科院分区：
文献类型：
--
作者：
Harvey BJ;Moloughney BW;Iglar KT
家庭医生和其他初级保健从业人员面临的公共卫生状况，如严重急性呼吸系统综合征（SARS）和最近的H1N1，导致人们越来越有兴趣确定与家庭医学相关的公共卫生能力。目前，没有一套商定的公共卫生能力，界定家庭医生应具备的知识和技能，以有效地面对各种公共卫生挑战。使用多阶段的迭代过程，包括详细的文献综述，作者开发了一套与初级保健相关的公共卫生能力，确定了从“后MD”到“增强”的四个级别的相关能力。家庭医学和公共卫生教育从业人员的反馈意见，对一套拟议的“基本”能力表明，需要一个更有限的，可行的一套“优先”领域，在住院医师培训期间强调。这套集中的公共卫生能力已经开始指导多伦多的家庭医学住院医师计划课程，包括学术半天的大学的相关组成部分;临床经验，特别是确定“可教的时刻”在病人遇到;居民学术项目;和选修公共卫生机构的位置。这些能力也将用于指导家庭医学公共卫生入门和教师发展会议的发展，以支持家庭医学教师促进居民实现这些能力。一旦更全面实施，将启动评估，以确定这些公共卫生能力正在实现家庭医学毕业生的程度，特别是他们是否获得了必要的知识，技能和信心，有效地面对不同的公共卫生情况，从常见的紧急。
Public health situations faced by family physicians and other primary care practitioners, such as severe acute respiratory syndrome (SARS) and more recently H1N1, have resulted in an increased interest to identify the public health competencies relevant to family medicine. At present there is no agreed-on set of public health competencies delineating the knowledge and skills that family physicians should possess to effectively face diverse public health challenges. Using a multi-staged, iterative process that included a detailed literature review, the authors developed a set of public health competencies relevant to primary care, identifying competencies relevant across four levels, from “post-MD” to “enhanced.” Feedback from family medicine and public health educator–practitioners regarding the set of proposed “essential” competencies indicated the need for a more limited, feasible set of “priority” areas to be highlighted during residency training. This focused set of public health competencies has begun to guide relevant components of the University of Toronto's Family Medicine Residency Program curriculum, including academic half-days; clinical experiences, especially identifying “teachable moments” during patient encounters; resident academic projects; and elective public health agency placements. These competencies will also be used to guide the development of a family medicine–public health primer and faculty development sessions to support family medicine faculty facilitating residents to achieve these competencies. Once more fully implemented, an evaluation will be initiated to determine the degree to which these public health competencies are being achieved by family medicine graduates, especially whether they attained the knowledge, skills, and confidence necessary to effectively face diverse public health situations—from common to emergent.
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影响因子：
5.5
作者：
Shore, Barbie;McDowell, Ian;Donovan, Denise
通讯作者：
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Wood D