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Teaching population health as a basic science at Harvard Medical School.

机译:在哈佛医学院教授人口健康作为一门基础科学。

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In 2006-2007, Harvard Medical School implemented a new, required course for first-year medical and dental students entitled Clinical Epidemiology and Population Health. Conceived of as a "basic science" course, its primary goal is to allow students to develop an understanding of caring for individuals and promoting the health of populations as a continuum of strategies, all requiring the engagement of physicians. In the course's first iteration, topical content accessible to first-year students was selected to exemplify physicians' roles in addressing current threats to population health. Methodological areas included domains of clinical epidemiology, decision sciences, population-level prevention and health promotion, physicians' roles in the public health system, and population-level surveillance and intervention strategies. Large-group settings were selectively used to frame the relevance of each topic, and conceptual learning of statistical and epidemiologic methods occurred in conference groups of24 students. Finally, tutorials of eight students and one or two faculty were used for critical reading of published studies, review of problem sets, and group discussion of population health issues. To help students appreciate the structure and function of the public health system and physicians' role in public health emergencies, the course included a role-playing exercise simulating response to an influenza pandemic. The first iteration of the course was well received, and assessment of students suggested mastery of basic skills. Preclinical courses represent a progressive step in developing a workforce of physicians who embrace their responsibility to improve the health of the population as a whole, as well as the health of the patient in front of them.
机译:在2006-2007年间,哈佛医学院为一年级医学和牙科专业的学生开设了一个新的必修课程,名为临床流行病学和人口健康。它被认为是“基础科学”课程,其主要目标是让学生发展对关怀个人和促进人口健康的理解,并将其作为一系列策略的统筹,所有这些都需要医生的参与。在本课程的第一次迭代中,选择了一年级学生可访问的主题内容,以例证医师在应对当前对人口健康的威胁中的作用。方法领域包括临床流行病学,决策科学,人口水平的预防和健康促进,医师在公共卫生系统中的作用以及人口水平的监视和干预策略等领域。有选择地使用大型小组活动来构架每个主题的相关性,并在由24位学生组成的会议小组中进行统计和流行病学方法的概念性学习。最后,使用八名学生和一两个教职员工的教程,对已发表的研究进行批判性阅读,对问题集进行复习以及对人群健康问题进行小组讨论。为了帮助学生理解公共卫生系统的结构和功能以及医生在公共卫生紧急情况中的作用,该课程包括模拟流感大流行反应的角色扮演练习。该课程的第一版受到好评,对学生的评估表明他们精通基本技能。临床前课程是培养医师队伍的一个进步步骤,这些医师应承担起改善整体人口健康以及其周围患者健康的责任。

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