의학교육에 공공보건 통합시키기 (Am J Prev Med. 2011)

의학교육에 공공보건 통합시키기 (Am J Prev Med. 2011)

Integration of Public Health Into Medical Education An Introduction to the Supplement

Rika Maeshiro, MD, MPH, Denise Koo, MD, MPH, C. William Keck, MD, MPH

Twelve years ago, the Association of American Medi- cal Colleges (AAMC) and the CDC established a formal relationship through a cooperative agree- ment “to strengthen collaborations between academic med- icine and public health.” A consistent focus of cooperative agreement activities has been improving the public health, population health, and prevention aspects of medical educa- tion. Historically, these subjects were often omitted from the training of physicians. Contemporary medical educators continue to struggle to secure the time and resources to effectively integrate this content into the curricula,

The cooperative agreement has supported the Re- gional Medicine–Public Health Education Centers (RMPHECs)1 initiative, an effort to integrate public/popu- lation and prevention education into medical school and residency curricula through partnerships with local and state public healthagencies andother public healthpartners, as well as reports focusing on public health topics that have not traditionally been included in medical school curri- cula.2,3

The Conference

Reflections

We propose the following to assist these educators:

● National organizations or individual institutions should continue efforts to convene medical educators who are responsible for integrating public health into the contin- uum of medical education. The dearth of opportunities for networking and shared problem solving was cited as a barrier to progress by educators.

● Journals should create opportunities to publish articles that describe educational innovations and assess their impacts. Journals should consider adapting publica- tion standards so that experiences can be shared even when they might be limited to one institution, or before robust outcome data are available.

● Medical educators, public health educators, and public health practitioners should convene and collaborate at local and regional levels. Institutions that have robust traditions of collaboration with their public health and community partners can creatively integrate educa- tional opportunities that benefıt their learners as well as their partnering organizations.

Emerging information about the impact of the social determinants of health on health status,49 the focus of the Affordable Care Act on prevention and wellness,50 and the poor showing of the U.S. among the developed nations of the world in terms of population health49 all suggest that a major paradigm-shift in medical educa- tion and practice has become a necessity.

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Am J Prev Med. 2011 Oct;41(4 Suppl 3):S145-8. doi: 10.1016/j.amepre.2011.07.010.

Integration of public health into medical education: an introduction to the supplement.

Maeshiro R, Koo D, Keck CW.

PMID:

 

21961654

 

[PubMed - indexed for MEDLINE]