Abstract
This paper provides a foundation for establishing curricula to train medical residents in ambulatory care. To do so, it first presents reasons that curricula are needed in this area. It then delineates attitudes and proficiencies (knowledge and skills) that such curricula should be designed to instill. Finally, it briefly discusses implications for curriculum development. Extensive tables are provided, including detailed lists of generic proficiencies that residents should attain. Among realms in which these proficiencies lie are organizing the ambulatory care encounter, using interpersonal skills, gathering information through physical examination and other means, obtaining and employing clinically useful knowledge, documenting the encounter, and planning and coordinating care. The paper notes that planning for the discharge of patients from the hospital can contribute to obtaining proficiencies important in ambulatory care.
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References
Disease prevention/health promotion: the facts. Prepared by the Office of Disease Prevention and Health Promotion, U.S. Public Health Service, U.S. Department of Health and Human Services. Palo Alto, CA: Bull Publishing Company, 1988.
Mendenhall RC, Tarlov AR, Girard RA, Michel JK, Radecki ST. A national study of internal medicine and its specialties: II. Primary care in internal medicine. Ann Intern Med. 1979;91:275–87.
Kantor SM, Griner PF. Educational needs in general internal medicine as perceived by prior residents. J Med Educ. 1981;56:748–56.
Kern DC, Parrino TA, Korst DR. The lasting value of clinical skills. JAMA. 1985;254:70–6.
Linn LS, Brook RH, Clark VA, Fink A, Kosecoff J. Evaluation of ambulatory care training by graduates of internal medicine residencies. J Med Educ. 1986;61:293–302.
McPhee SJ, Mitchell TF, Schroeder SA, Perez-Stable EJ, Bindman AB. Training in a primary care internal medicine residency program. JAMA. 1987;258:1491–5.
Perkoff GT. Teaching clinical medicine in the ambulatory setting: an idea whose time may have finally come. N Engl J Med. 1986;314:27–31.
Schroeder A, Showstack JA, Gerbert B. Residency training in internal medicine: time for a change? Ann Intern Med. 1986;104:554–61.
Lawrence R. The goals for medical education in the ambulatory setting. J Gen Intern Med. 1988;3:515–25.
Task Force on the Future Internist. The future internist. Ann Intern Med. 1988;108:145–7.
Special requirements for residency training programs in internal medicine. Accreditation Council for Graduate Medical Education. Published in Directory of Graduate Medical Education Programs, 1989–1990. Chicago: American Medical Association, 1989.
Jensen NM, Dirx JM. A curriculum for internal medicine residency: the University of Wisconsin program. American College of Physicians, Philadelphia, 1989.
Daley J, Harrington JT. The characteristics of training in ambulatory medicine in U.S. residencies. J Med Educ. 1983;60:355–66.
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Barker, L.R. Curriculum for ambulatory care training in medical residency. J Gen Intern Med 5 (Suppl 1), S3–S14 (1990). https://doi.org/10.1007/BF02600433
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DOI: https://doi.org/10.1007/BF02600433