2010/01/11

    The Family Medicine Clerkship Curriculum

STFM (Society of Teachers of Family Medicine)のプロジェクトとして
表題のカリキュラムが整備されています

The Family Medicine Clerkship Curriculum

通常米国の家庭医療のクラークシップは通常3年目で2ヶ月ぐらいのところがほとんどだと思うので,また米国の医学生と日本の医学生のレベルを考慮すると,日本では卒後2年目にやる地域医療(必修化カリキュラム)の枠組みとして,もしくは3-6ヶ月程度の後期の選択研修,また日本家庭医療学会の診療所6ヶ月の部分のたたき台として有用なのではないでしょうか.
端的によくまとまっています.

リンクはpdfです.


the Executive Summary to the Clerkship Curriculum. (pdf)

the Family Medicine Clerkship Curriculum. (pdf)

鍵となる表を挙げておきます

Table 1 The Principles of Family Medicine
The biopsychosocial model
Comprehensive care
Continuity of care
Contextual care
Coordination/complexity of care

Table 2 Key Characteristics of Family Physicians
Prior knowledge of the patient
Care for a heterogeneous
patient population
Multiple settings with different diagnostic prevalence
Multi-purpose visits
Staged diagnostic approach
Opportunity for follow-up care

Table 3: Core Acute Presentations(省略)

Table 4 Key characteristics of Chronic Disease Management by Family Physicians
Chronic disease management knowledge and skill
Attention to co-morbidities
Continuity context
Relationship with the patient
Patient empowerment and self-management support

Table 5: Core Chronic Disease Presentations (省略)

Table 6 Characteristics of Preventive Care by Family Physicians
Evidence-based
Individualized
Opportunistic
Prioritized

Table 7 Core Health Promotion Conditions for Adults
Breast cancer
Cervical cancer
Colon cancer
Coronary artery disease
Depression
Fall risk in elderly patients
Intimate partner and family violence
Obesity
Osteoporosis
Prostate cancer
Sexually transmitted infection
Substance use/abuse
Type 2 diabetes mellitus

Table 8 Core Health Promotion Conditions for Children/Adolescents
Diet/exercise
Family/social support
Growth and development
Hearing
Lead exposure
Nutritional deficiency
Potential for injury
Sexual activity
Substance use
Tuberculosis
Vision

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