全科醫(yī)學(xué)教學(xué)團(tuán)隊(duì)

1、全科醫(yī)學(xué)教學(xué)團(tuán)隊(duì)Program Implementation Overview工程實(shí)施概況To successfully implement a Curriculum or Program, the developer must ensure:為了成功地實(shí)施一個(gè)課程或工程，領(lǐng)導(dǎo)者必須確保：Sufficient resources充足的資源Political and financial support政治和財(cái)政支持Development of effective Administrative strategies of support開展支持的有效管理策略To be successful a p

2、rogram must have good teachers 取得成功的前提是好的師資Identification of Resources鑒定資源Personnel 人力Time時(shí)間Facilities設(shè)備Funding/Cost 經(jīng)費(fèi)Identification/Assess Resources鑒定/評估資源Personnel 人力資源Faculty 教職員Adequate numbers 充足的數(shù)量 Teaching and content skill 教學(xué)技巧 Faculty development 教職員得到開展Secretarial / Other support staff 秘書

3、/其它支持人員Prepare/distribute curricular materials, schedules evaluation tools, etc. 準(zhǔn)備/分發(fā)課程材料，日程表，評估工具等General support of learning activities對于教學(xué)活動(dòng)總體上的支持Patients - adequate numbers and variety 病人-數(shù)量充足病種多樣Identification/Assess Resources Time鑒定/評估資源 時(shí)間Faculty 教職員Preparation/Teaching time準(zhǔn)備/教學(xué)時(shí)間Plan/Admin

4、ister the curriculum方案/管理課程安排Learners學(xué)習(xí)者Scheduled learning activities方案好的學(xué)習(xí)活動(dòng)Read/Independent Learning閱讀/獨(dú)立的學(xué)習(xí)Clinical rotations 臨床輪轉(zhuǎn)Support staff 支持的工作人員Form Follows Function 形式由功能而定“Family physicians acquire and maintain a broad and varying array of competencies, depending upon the needs of the po

5、pulations they serve, the communities in which they practice, and the environments in which both they and their patients work and live. 全科醫(yī)生需要并具備的能力范圍很寬，會(huì)因他們效勞的人群、從事醫(yī)療的社區(qū)、他們及病人工作生活的環(huán)境不同而有很大的不同。Looking Into The Future 展望未來What will be the needs of China for health care? 中國對于健康照顧的需求是什么？What does the g

6、overnment perceive your role to be and what are their expectations? 政府認(rèn)為你的角色是什么？政府的期望是什么？How will family practice integrate into the current health care system? 全科醫(yī)學(xué)如何整合到當(dāng)今的醫(yī)療體系中？How will the Chinese population react to this type of specialist? 中國人對這種全科類型的?？漆t(yī)生有什么反響？Our Role As Family Physicians全科醫(yī)生的

7、角色Being 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 of their doctor:病人生病或需要醫(yī)生幫助時(shí)會(huì)去哪些地方，全科醫(yī)生就需要在那些環(huán)境里受過培訓(xùn)以勝任在那個(gè)地方工作的角色。Out patient department門診Hospital 醫(yī)院Intensive Care Unit重癥監(jiān)護(hù)病房Operating Room手術(shù)室Hospice

8、Unit 臨終關(guān)心機(jī)構(gòu)Delivery Room分娩室Nursery 嬰兒室Rural or Urban:農(nóng)村或城市Do FP belong only in rural areas?家庭醫(yī)生只屬于農(nóng)村地區(qū)嗎？Needed in Rural areas: villages, towns, small cities在村、鎮(zhèn)、小城市等農(nóng)村地區(qū)需要：Not enough specialists to supply all small towns 沒有足夠的專家可以為所有小鎮(zhèn)提供醫(yī)療效勞Not enough demand to support all the other specialties 沒有那樣

9、多的對所有?？频尼t(yī)療需求FP/GP needs to be well trained to handle many complex problems and procedures 家庭/全科醫(yī)生需要得到很好的培訓(xùn)以應(yīng)付很多復(fù)雜的問題和操作9Rural or Urban:農(nóng)村或城市Do FP belong only in rural areas?家庭醫(yī)生只屬于農(nóng)村地區(qū)嗎？Needed in Urban/city areas在城市也需要Specialization is one of the reasons FM is needed 需要家庭醫(yī)生的一個(gè)理由是專科化Management of car

10、e is even more critical 更為關(guān)鍵的是健康照顧管理Cost control費(fèi)用控制Prevention預(yù)防Training of the Rural Family Physician培訓(xùn)鄉(xiāng)村的全科醫(yī)生Consider access to medical specialists 考慮到有使用?？漆t(yī)生的權(quán)利Remoteness of Practice 實(shí)踐地點(diǎn)遙遠(yuǎn)Competent, comfortable, and confident in practice 對醫(yī)療實(shí)踐感到能勝任、舒服并且自信Training to be more independent: Limited

11、access to medical services 受過訓(xùn)練更加獨(dú)立：獲得醫(yī)療效勞受限Will need added training in surgical, procedural, obstetrical, and emergency skills 需要增加手術(shù)、操作、產(chǎn)科和急診方面的培訓(xùn)。Preparing Family Physicians for Rural Areas 讓全科醫(yī)生為鄉(xiāng)村地區(qū)做好預(yù)備Broad Medical Training廣泛的醫(yī)學(xué)培訓(xùn)Procedural training in skills that are not easily available 操作培訓(xùn)

12、那些不易得到的技能Overseeing other health-care providers 監(jiān)督其它醫(yī)務(wù)工作者Nurses, Physician assistants, Nurse practitioners, Public Health personnel 護(hù)士、醫(yī)師助理、執(zhí)業(yè)護(hù)士、公衛(wèi)人員Knowing when to refer知道何時(shí)轉(zhuǎn)診Knowing your limitations知道你的限制Comfortable in your chosen scope of practice 在選定的執(zhí)業(yè)范圍內(nèi)感到舒適自信Preparing Family Physicians for La

13、rger Cities讓全科醫(yī)生為大城市做好預(yù)備Broad Medical Training廣泛的醫(yī)學(xué)培訓(xùn)Understanding of how to use medical system resources to the best advantage of the patient理解為了病人的利益如何利用醫(yī)療體系資源Trained to know what the rest of the medical system has to offer受過訓(xùn)練知道醫(yī)療體系的哪些醫(yī)療資源可以利用Procedural training操作技能培訓(xùn)Preparing Family Physicians f

14、or Larger Cities讓全科醫(yī)生為大城市做好預(yù)備Overseeing other health-care providers 監(jiān)督其它醫(yī)務(wù)工作者Nurses, Physician assistants, Nurse practitioners, Public Health personnel , etc護(hù)士、醫(yī)師助理、執(zhí)業(yè)護(hù)士、公衛(wèi)人員等Management of care given to the patient 管理給予病人的健康照顧Knowing when to refer知道何時(shí)轉(zhuǎn)診Knowing your limitations知道你的限制Comfortable in yo

15、ur chosen scope of practice在選定的執(zhí)業(yè)范圍內(nèi)感到舒適自信Knows what tests, procedures, treatments, paramedical resources are available locally知道當(dāng)?shù)赜心男┗?yàn)、手術(shù)操作、治療、醫(yī)療輔助資源Who should Teach GPs?誰教全科醫(yī)生？ Preparing the Teachers of Family Medicine 準(zhǔn)備好全科醫(yī)學(xué)的老師General practice doctors全科醫(yī)生Specialists in general practice全科醫(yī)療中的?？漆t(yī)

16、師Need primary care perspective需要有初級保健的洞察力Global outlook 整體的眼光Practical clinical skills實(shí)用的臨床技能Not easy to find GP specialists when GP is new全科醫(yī)療是新的，不容易找到全科的?？漆t(yī)師Who should Teach GPs?誰教全科醫(yī)生？ Preparing the Teachers of Family Medicine 準(zhǔn)備好全科醫(yī)學(xué)的老師Specialists專科醫(yī)師Needed for training in specialty areas 在?？祁I(lǐng)域需

17、要他們來參與培訓(xùn)Need their expertise需要他們的專門技能Need their cooperation需要他們的合作Specialists need to understand the need for and role of GP專科醫(yī)師需要理解全科醫(yī)生的需要和角色General Practice Specialist Teachers 全科的?？评蠋烶assion for general practice specialty 熱愛全科這個(gè)專業(yè)Excellent broad knowledge base 良好廣泛的知識(shí)根底Excellent clinical skills良好

18、的臨床技能Excellent doctor patient relationship skills 良好的醫(yī)患關(guān)系技巧Excellent procedural skills良好的手術(shù)操作技巧Excellent teaching ability良好的教學(xué)能力Specialist Teachers?？评蠋烾nderstand and value the role of GP in the medical system and for patient health理解并重視全科醫(yī)生在醫(yī)療體系及病人健康中的作用Recruited for their teaching ability因他們的教學(xué)能力而被

19、納入進(jìn)全科的教學(xué)團(tuán)隊(duì)Understands the role of the other specialties in preparing new GPs.理解在準(zhǔn)備新的全科醫(yī)生時(shí)，其它專科醫(yī)生的任務(wù)They should understand what part of their specialty GPs need to know理解在他們?？品秶鷥?nèi)全科醫(yī)生需要知道哪些局部They dont teach everything他們不需要教所有的They know the common diseases GPs need to treat他們理解全科醫(yī)生需要治療的常見病Specialist Te

20、achers: Which Ones?專科老師：哪些人？Specialists from all the organ system areas that GPs will be responsible for treating全科醫(yī)生有責(zé)任治療的、所有器官系統(tǒng)所涉及的?？艻nternal medicine內(nèi)科Cardiology 心臟病學(xué)Pulmonology 肺病學(xué)Gastroenterology胃腸病學(xué)Hematology血液學(xué)Infectious disease感染性疾病Neurology 神經(jīng)病學(xué)Rheumatology風(fēng)濕病學(xué)Endocrinology內(nèi)分泌學(xué)Nephrology神經(jīng)

21、病學(xué)Ophthalmology眼科Otorhinolaryngology 耳鼻喉科Dermatology 皮膚科Others其它Specialist Teachers: Which Ones?專科老師：哪些人？Pediatrics兒科醫(yī)生Cardiology心臟病學(xué)Pulmonology肺病學(xué)Gastroenterology胃腸病學(xué)Dermatology皮膚科Endocrinology內(nèi)分泌科Otorhinolaryngology耳鼻喉科Neurology神經(jīng)病學(xué)Rheumatology風(fēng)濕病學(xué)Ophthalmology眼科Others其它Specialist Teachers: Which

22、Ones??？评蠋煟耗男┤?？Surgical手術(shù)Orthopedics骨科General surgery普外科Dermatology皮膚科Obstetrical產(chǎn)科Gynecological婦科Specialist Teachers: Which Ones??？评蠋煟耗男┤?？Obstetrician Gynecologists婦產(chǎn)科Obstetrics產(chǎn)科Normal pregnancies and deliveries正常妊娠和分娩Ability to recognize high risk pregnancies and consult or transfer care when need

23、ed識(shí)別高危妊娠，當(dāng)必要時(shí)請求轉(zhuǎn)診或會(huì)診的能力Gynecology婦科Normal and pathological conditions正常和病理情況Infectious感染Surgical手術(shù)Menarche初潮Menopause絕經(jīng)Endocrinological內(nèi)分泌的Specialist Teachers: Which Ones??？评蠋煟耗男┤?？Behavioral Medicine行為醫(yī)學(xué)Psychiatry精神病學(xué)Psychology心理學(xué)Counseling心理咨詢Paramedical Teachers: Which Ones?醫(yī)輔專業(yè)教師：哪些人？Pharmacists藥

24、劑師Therapists (physical, occupational, speech, others)理療師身體的，職業(yè)的，語言及其它Dieticians營養(yǎng)師Social Workers社會(huì)工作者Nurse specialists if available護(hù)士專家如果有的話Curriculum of Specialist Teachers?？平處煹恼n程Common diseases in each specialty每個(gè)?？浦械某Ｒ姴ommon procedures when practical and needed實(shí)用、必需的常見操作Curriculum developed toge

25、ther with primary care faculty and other specialists課程設(shè)計(jì)由全科教職員和其它?？漆t(yī)師共同完成AAFP and ABFM developed most of their curriculum in cooperation with the other specialties美國家庭醫(yī)生協(xié)會(huì)和家庭醫(yī)學(xué)委員會(huì)的課程安排都是和其它專科醫(yī)生共同制定的What to recognize and treat 認(rèn)識(shí)和治療什么What procedures to do 做哪些操作What to refer 什么情況下轉(zhuǎn)診CV Requirements心血管專

26、業(yè)培訓(xùn)要求CV Requirements心血管專業(yè)培訓(xùn)要求Training Sites of GP and Specialist Teachers全科醫(yī)生和專科師資培訓(xùn)地點(diǎn)Outpatient department門診部Hospital醫(yī)院Intensive Care Units重癥監(jiān)護(hù)病房Emergency department急診科Old peoples care homes養(yǎng)老院Occupational medicine職業(yè)病學(xué)Wherever the specialist practices the trainee should be included ?？漆t(yī)生無論在哪里工作，受訓(xùn)者都

27、應(yīng)該被包括進(jìn)來Wherever the GP will practice the GP should be trained; wherever the GP will refer patients the GP should be trained 全科醫(yī)生將在哪工作就應(yīng)該在哪里得到培訓(xùn)；全科醫(yī)生往哪里轉(zhuǎn)診病人，就應(yīng)該在哪里得到培訓(xùn)。Specialist Teachers?？茙熧YTreat GP trainees equally with specialty residents平等地對待全科和?？谱≡横t(yī)生Teach GP students with the same positive attitude given to their own specialty trainees用給予本專業(yè)住院醫(yī)生一樣的正面態(tài)度對待全科學(xué)生They do not