 |
|
Practical Approaches to a Major Educational ChallengeTraining Students in the Ambulatory Setting
Linda G. Lesky, MD;
Warren Y. Hershman, MD
Arch Intern Med. 1995;155(9):897-904.
Abstract
| |
Medical schools and residency training programs are recognizing the need to expand education in ambulatory medicine. Inpatients wards increasingly provide treatment for only the most critically ill patients and are required only for very specialized procedure-oriented technology. Most diagnostic and management decisions are being made in outpatient settings. This shift in where medical care occurs has led to a reassessment of the educational value of training students and house staff primarily on hospital-based wards. New train ing initiatives in ambulatory medicine are being developed in medicine, pediatrics, and family medicine, and the principal sites for most of this training are primary care offices, clinics, and health maintenance organizations. Program planners and indiviual preceptors are confronting numerous obstacles in their efforts to find effective solutions to the dilemmas raised by the need to train large numbers of students in these settings. This article will explore many of these obstacles, including the unique learning requirements of third-year students, the elements of a quality clinical training environment, and the precepting skills needed for this educational task. Finally, we propose for debate a model for ambulatory medical education that focuses on strengthening the ties between academia and the numerous training sites. By taking optimal advantage of academic and community attributes, we are more likely to be assured quality medical education, skilled teaching, and rigorous scholarship in ambulatory medicine.
Arch Intern Med. 1995;155:897-904
Author Affiliations
From the Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Hospital and Harvard Medical School, Boston, Mass (Dr Lesky); and Section of General Internal Medicine, Evans Memorial Department of Clinical Research, Department of Medicine, Boston University Medical Center Hospital (Dr Hershman).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
The Effect of Psychiatric Third-Year Rotation Setting on Academic Performance, Student Attitudes, and Specialty Choice
Bobo et al.
Acad. Psychiatry 2009;33:105-111.
ABSTRACT
| FULL TEXT
Demography of Pediatric Primary Care in Europe: Delivery of Care and Training
Katz et al.
Pediatrics 2002;109:788-796.
ABSTRACT
| FULL TEXT
The Search for Effective and Efficient Ambulatory Teaching Methods Through the Literature
Heidenreich et al.
Pediatrics 2000;105:231-237.
ABSTRACT
| FULL TEXT
Pediatric Clerkship Experience and Performance in the Nebraska Education Consortium: A Community vs University Comparison
McCurdy et al.
Arch Pediatr Adolesc Med 1999;153:989-994.
ABSTRACT
| FULL TEXT
The Impact of the Location and Structure of an Ambulatory Rotation on Cognitive Knowledge and Performance
Solomon et al.
Eval Health Prof 1999;22:197-207.
ABSTRACT
The Relationship Between Preceptor Expectations and Student Performance on 2 Pediatric Objective Structured Clinical Examination Stations
Malloy et al.
Arch Pediatr Adolesc Med 1998;152:806-811.
ABSTRACT
| FULL TEXT
A Comparison of Performance Between Third-Year Students Completing a Pediatric Ambulatory Rotation on Campus vs in the Community
Malloy and Speer
Arch Pediatr Adolesc Med 1998;152:397-401.
ABSTRACT
| FULL TEXT
Intern Learning and Education in a Short Stay Unit: A Qualitative Study
Marks et al.
Arch Pediatr Adolesc Med 1997;151:193-198.
ABSTRACT
Redesigning Graduate Medical Education -- Location and Content
Kassirer
NEJM 1996;335:507-509.
FULL TEXT
|
