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1、Teaching Family Medicine: Who Should Do it? 全科医学的教学团队Chris Jenkins, MD Family Medicine Education International Beijing 2010Program Implementation Overview 项目实施概况nTo successfully implement a Curriculum or Program, the developer must ensure:为了成功 地实施一个课程或项目，领导者必须确保： Sufficient resources充足的资源 Political
2、and financial support政治和财政支持 Development of effective Administrative strategies of support发展支持的有效管理策 略 nTo be successful a program must have good teachers 取得成功的前提是好的师资Identification of Resources鉴定资源nPersonnel 人力nTime时间nFacilities设备nFunding/Cost 经费Identification/Assess Resources 鉴定/评估资源 Personnel 人力资
3、源nFaculty 教职员 Adequate numbers 充足的数量 Teaching and content skill 教学技巧 Faculty development 教职员得到发展nSecretarial / Other support staff 秘书/其它支持人员 Prepare/distribute curricular materials, schedules evaluation tools, etc. 准备/分发课程材料，日程表，评估 工具等 General support of learning activities对于教学活动 总体上的支持 nPatients -
4、adequate numbers and variety病人-数量充足病种多样Identification/Assess Resources Time 鉴定/评估资源 时间nFaculty 教职员 Preparation/Teaching time准备/教学时间 Plan/Administer the curriculum计划/管理课程安排nLearners学习者 Scheduled learning activities计划好的学习活动 Read/Independent Learning阅读/独立的学习 Clinical rotations 临床轮转nSupport staff 支持的工作人
5、员Form Follows Function 形式由功能而定n“Family physicians acquire and maintain a broad and varying array of competencies, depending upon the needs of the populations they serve, the communities in which they practice, and the environments in which both they and their patients work and live.”全科医生需要并具备的能力范围很宽
6、， 会因他们服务的人群、从事医疗的社区 、他们及病人工作生活的环境不同而有 很大的不同。Looking Into The Future 展望未来nWhat will be the needs of China for health care?中国对于健康照顾的需求是什么？nWhat does the government perceive your role to be and what are their expectations?政府认为你的角色是什么？政府的期望是什么？nHow will family practice integrate into the current health
7、care system?全科医学如何整合到当今的医疗体系中？nHow will the Chinese population react to this type of specialist?中国人对这种全科类型的专科医生有什么反应？Our Role As Family Physicians全科医生的角色nBeing able to fulfill all of these roles requires us to have clinical training in settings where patients will find themselves when ill or in need
8、 of their doctor:病人生病或需要医生帮助时会去哪些地方 ，全科医生就需要在那些环境里受过培训以胜任 在那个地方工作的角色。 Out patient department门诊 Hospital 医院 Intensive Care Unit重症监护病房 Operating Room手术室 Hospice Unit 临终关怀机构 Delivery Room分娩室 Nursery 婴儿室Rural or Urban:Rural or Urban:农村或城市农村或城市 Do FP belong only in rural areas?Do FP belong only in rural
9、areas? 家庭医生只属于农村地区吗？家庭医生只属于农村地区吗？n nNeeded in Rural areas: villages, towns, small Needed in Rural areas: villages, towns, small citiescities在村、镇、小城市等农村地区需要：在村、镇、小城市等农村地区需要： Not enough specialists to supply all small townsNot enough specialists to supply all small towns没有足够的专家可以为所有小镇提供医疗服务没有足够的专家可以为所
10、有小镇提供医疗服务 Not enough demand to support all the other Not enough demand to support all the other specialties specialties 没有那样多的对所有专科的医疗需求没有那样多的对所有专科的医疗需求 FP/GP needs to be well trained to handle many FP/GP needs to be well trained to handle many complex problems and procedurescomplex problems and pro
11、cedures家庭家庭/ /全科医生需要得到很好的培训以应付很多复杂全科医生需要得到很好的培训以应付很多复杂 的问题和操作的问题和操作9 9Rural or Urban:Rural or Urban:农村或城市农村或城市 Do FP belong only in rural areas?Do FP belong only in rural areas? 家庭医生只属于农村地区吗？家庭医生只属于农村地区吗？n nNeeded in Urban/city areasNeeded in Urban/city areas在城市也需要在城市也需要 Specialization is one of the
12、 reasons FM is Specialization is one of the reasons FM is needed needed 需要家庭医生的一个理由是专科化需要家庭医生的一个理由是专科化 Management of care is even more critical Management of care is even more critical 更为关键的是健康照顾管理更为关键的是健康照顾管理 Cost controlCost control费用控制费用控制 PreventionPrevention预防预防Training of the Rural Family Phys
13、ician培训乡村的全科医生nConsider access to medical specialists考虑到有使用专科医生的权利nRemoteness of Practice实践地点遥远nCompetent, comfortable, and confident in practice对医疗实践感到能胜任、舒服并且自信nTraining to be more independent: Limited access to medical services受过训练更加独立：获得医疗服务受限nWill need added training in surgical, procedural, ob
14、stetrical, and emergency skills需要增加手术、操作、产科和急诊方面的培训。Preparing Family Physicians for Rural Areas让全科医生为乡村地区做好预备nBroad Medical Training广泛的医学培训nProcedural training in skills that are not easily available 操作培训那些不易得到的技能nOverseeing other health-care providers监督其它医务工作者 Nurses, Physician assistants, Nurse pr
15、actitioners, Public Health personnel 护士、医师助理、执业护士、公卫人员nKnowing when to refer知道何时转诊 Knowing your limitations知道你的限制 Comfortable in your chosen scope of practice在选定的执业范围内感到舒适自信Preparing Family Physicians for Larger Cities让全科医生为大城市做好预备nBroad Medical Training广泛的医学培训nUnderstanding of how to use medical system resources to the best advantage of the patient理解为了病人的利益如何利 用医疗体系资源 Trained to know what the rest of the medical system has to offer受过训练知道医 疗体系的哪些医疗资源可以利用nProcedural training操作技能培训Preparing Family Physicians for Larger Cities让全科医生为大城市做好预备nOverseeing other health-care pr
