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TeachingFamilyMedicine:WhoShouldDoit?全科医学的教学团队ChrisJenkins,MDFamilyMedicineEducationInternationalBeijing2010ProgramImplementation–Overview项目实施—概况TosuccessfullyimplementaCurriculumorProgram,thedevelopermustensure:为了成功地实施一个课程或项目，领导者必须确保：–Sufficientresources充足的资源–Politicalandfinancialsupport政治和财政支持–DevelopmentofeffectiveAdministrativestrategiesofsupport发展支持的有效管理策略Tobesuccessfulaprogrammusthavegoodteachers取得成功的前提是好的师资IdentificationofResources鉴定资源Personnel人力Time时间Facilities设备Funding/Cost经费Identification/AssessResources鉴定/评估资源Personnel人力资源Faculty教职员–Adequatenumbers充足的数量–Teachingandcontentskill教学技巧–Facultydevelopment教职员得到发展Secretarial/Othersupportstaff秘书/其它支持人员–Prepare/distributecurricularmaterials,schedulesevaluationtools,etc.准备/分发课程材料，日程表，评估工具等–Generalsupportoflearningactivities对于教学活动总体上的支持Patients-adequatenumbersandvariety病人-数量充足病种多样Identification/AssessResourcesTime鉴定/评估资源时间Faculty教职员–Preparation/Teachingtime准备/教学时间–Plan/Administerthecurriculum计划/管理课程安排Learners学习者–Scheduledlearningactivities计划好的学习活动–Read/IndependentLearning阅读/独立的学习–Clinicalrotations临床轮转Supportstaff支持的工作人员FormFollowsFunction形式由功能而定“Familyphysiciansacquireandmaintainabroadandvaryingarrayofcompetencies,dependingupontheneedsofthepopulationstheyserve,thecommunitiesinwhichtheypractice,andtheenvironmentsinwhichboththeyandtheirpatientsworkandlive.”全科医生需要并具备的能力范围很宽，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。LookingIntoTheFuture展望未来WhatwillbetheneedsofChinaforhealthcare?中国对于健康照顾的需求是什么？Whatdoesthegovernmentperceiveyourroletobeandwhataretheirexpectations?政府认为你的角色是什么？政府的期望是什么？Howwillfamilypracticeintegrateintothecurrenthealthcaresystem?全科医学如何整合到当今的医疗体系中？HowwilltheChinesepopulationreacttothistypeofspecialist?中国人对这种全科类型的专科医生有什么反应？OurRoleAsFamilyPhysicians全科医生的角色Beingabletofulfillalloftheserolesrequiresustohaveclinicaltraininginsettingswherepatientswillfindthemselveswhenillorinneedoftheirdoctor: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。–Outpatientdepartment门诊–Hospital医院–IntensiveCareUnit重症监护病房–OperatingRoom手术室–HospiceUnit临终关怀机构–DeliveryRoom分娩室–Nursery婴儿室RuralorUrban:农村或城市DoFPbelongonlyinruralareas?家庭医生只属于农村地区吗？NeededinRuralareas:villages,towns,smallcities在村、镇、小城市等农村地区需要：–Notenoughspecialiststosupplyallsmalltowns没有足够的专家可以为所有小镇提供医疗服务–Notenoughdemandtosupportalltheotherspecialties没有那样多的对所有专科的医疗需求–FP/GPneedstobewelltrainedtohandlemanycomplexproblemsandprocedures家庭/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9RuralorUrban:农村或城市DoFPbelongonlyinruralareas?家庭医生只属于农村地区吗？NeededinUrban/cityareas在城市也需要–SpecializationisoneofthereasonsFMisneeded需要家庭医生的一个理由是专科化–Managementofcareisevenmorecritical更为关键的是健康照顾管理–Costcontrol费用控制–Prevention预防TrainingoftheRuralFamilyPhysician培训乡村的全科医生Consideraccesstomedicalspecialists考虑到有使用专科医生的权利RemotenessofPractice实践地点遥远Competent,comfortable,andconfidentinpractice对医疗实践感到能胜任、舒服并且自信Trainingtobemoreindependent:Limitedaccesstomedicalservices受过训练更加独立：获得医疗服务受限Willneedaddedtraininginsurgical,procedural,obstetrical,andemergencyskills需要增加手术、操作、产科和急诊方面的培训。PreparingFamilyPhysiciansforRuralAreas让全科医生为乡村地区做好预备BroadMedicalTraining广泛的医学培训Proceduraltraininginskillsthatarenoteasilyavailable操作培训那些不易得到的技能Overseeingotherhealth-careproviders监督其它医务工作者–Nurses,Physicianassistants,Nursepractitioners,PublicHealthpersonnel护士、医师助理、执业护士、公卫人员Knowingwhentorefer知道何时转诊–Knowingyourlimitations知道你的限制–Comfortableinyourchosenscopeofpractice在选定的执业范围内感到舒适自信PreparingFamilyPhysiciansforLargerCities让全科医生为大城市做好预备BroadMedicalTraining广泛的医学培训Understandingofhowtousemedicalsystemresourcestothebestadvantageofthepatient理解为了病人的利益如何利用医疗体系资源–Trainedtoknowwhattherestofthemedicalsystemhastooffer受过训练知道医疗体系的哪些医疗资源可以利用Proceduraltraining操作技能培训PreparingFamilyPhysiciansforLargerCities让全科医生为大城市做好预备Overseeingotherhealth-careproviders监督其它医务工作者–Nurses,Physicianassistants,Nursepractitioners,PublicHealthpersonnel,etc护士、医师助理、执业护士、公卫人员等Managementofcaregiventothepatient管理给予病人的健康照顾Knowingwhentorefer知道何时转诊–Knowingyourlimitations知道你的限制–Comfortableinyourchosenscopeofpractice在选定的执业范围内感到舒适自信–Knowswhattests,procedures,treatments,paramedicalresourcesareavailablelocally知道当地有哪些化验、手术操作、治疗、医疗辅助资源WhoshouldTeachGP’s?谁教全科医生？PreparingtheTeachersofFamilyMedicine准备好全科医学的老师Generalpracticedoctors全科医生–Specialistsingeneralpractice全科医疗中的专科医师–Needprimarycareperspective需要有初级保健的洞察力–Globaloutlook整体的眼光–Practicalclinicalskills实用的临床技能NoteasytofindGPspecialistswhenGPisnew全科医疗是新的，不容易找到全科的专科医师WhoshouldTeachGP’s?谁教全科医生？PreparingtheTeachersofFamilyMedicine准备好全科医学的老师Specialists专科医师–Neededfortraininginspecialtyareas在专科领域需要他们来参与培训–Needtheirexpertise需要他们的专门技能–Needtheircooperation需要他们的合作–SpecialistsneedtounderstandtheneedforandroleofGP专科医师需要理解全科医生的需要和角色GeneralPracticeSpecialistTeachers全科的专科老师Passionforgeneralpracticespecialty热爱全科这个专业Excellentbroadknowledgebase良好广泛的知识基础Excellentclinicalskills良好的临床技能Excellentdoctorpatientrelationshipskills良好的医患关系技巧Excellentproceduralskills良好的手术操作技巧Excellentteachingability良好的教学能力SpecialistTeachers专科老师UnderstandandvaluetheroleofGPinthemedicalsystemandforpatienthealth理解并重视全科医生在医疗体系及病人健康中的作用Recr