PDF(Pubmed)
Abstract：
OBJECTIVE: In recent years, significant steps have been made in integrating basic science and clinical medicine. There remains a gap in adding the third pillar of education: health systems science (HSS). Core clerkships represent an ideal learning venue to integrate all three. Students can experience the value of integrating basic science as they learn clinical medicine in environments where HSS is occurring all around them.
METHODS: We outline the creation of Sciences and Art of Medicine Integrated (SAMI), a course that runs parallel with the clerkship year and integrates basic science and HSS with clinical medicine. A complete description of the planning and implementation of SAMI is provided. We include the participants and educational setting, the goals and objectives, and the structure of each session. To encourage the integration of basic science, HSS, and clinical medicine, students utilize a series of tools, described in detail. Examples of each tool are provided utilizing a case of a patient presenting with obstructive sleep apnea.
RESULTS: We successfully implemented this course with positive reception from students.
CONCLUSIONS: This course represents a step not only toward the integration of HSS with basic science and clinical medicine but also an advancement in training future clinicians to provide high-value care. Future curricular development must consider the validation of a measure of clinical reasoning that assesses a student\'s ability to think in a cognitively integrated fashion about basic science, HSS, and clinical medicine demonstrated by enhanced justification of clinical reasoning and a more holistic approach to planning patient care.
METHODS: We outline the creation of Sciences and Art of Medicine Integrated (SAMI), a course that runs parallel with the clerkship year and integrates basic science and HSS with clinical medicine. A complete description of the planning and implementation of SAMI is provided. We include the participants and educational setting, the goals and objectives, and the structure of each session. To encourage the integration of basic science, HSS, and clinical medicine, students utilize a series of tools, described in detail. Examples of each tool are provided utilizing a case of a patient presenting with obstructive sleep apnea.
RESULTS: We successfully implemented this course with positive reception from students.
CONCLUSIONS: This course represents a step not only toward the integration of HSS with basic science and clinical medicine but also an advancement in training future clinicians to provide high-value care. Future curricular development must consider the validation of a measure of clinical reasoning that assesses a student\'s ability to think in a cognitively integrated fashion about basic science, HSS, and clinical medicine demonstrated by enhanced justification of clinical reasoning and a more holistic approach to planning patient care.
摘要：
目的：近年来，在整合基础科学和临床医学方面已经取得了重要进展。在增加教育的第三支柱：卫生系统科学（HSS）方面仍然存在差距。核心文员是整合这三者的理想学习场所。学生可以体验整合基础科学的价值，因为他们在HSS发生在他们周围的环境中学习临床医学。
方法：我们概述了综合医学科学与艺术（SAMI）的创建，该课程与职员年并行运行，并将基础科学和HSS与临床医学相结合。提供了SAMI计划和实施的完整描述。我们包括参与者和教育环境，目标和目的，以及每个会话的结构。为了鼓励基础科学的整合，HSS,和临床医学，学生利用一系列工具，详细描述。利用呈现阻塞性睡眠呼吸暂停的患者的情况来提供每个工具的示例。
结果：我们成功地实施了这门课程，得到了学生的积极欢迎。
结论：本课程不仅代表了HSS与基础科学和临床医学整合的一步，而且是培训未来临床医生以提供高价值护理的进步。未来的课程开发必须考虑验证临床推理的措施，评估学生的能力，以认知综合的方式思考基础科学，HSS,和临床医学通过增强临床推理的合理性和更全面的计划患者护理的方法来证明。
方法：我们概述了综合医学科学与艺术（SAMI）的创建，该课程与职员年并行运行，并将基础科学和HSS与临床医学相结合。提供了SAMI计划和实施的完整描述。我们包括参与者和教育环境，目标和目的，以及每个会话的结构。为了鼓励基础科学的整合，HSS,和临床医学，学生利用一系列工具，详细描述。利用呈现阻塞性睡眠呼吸暂停的患者的情况来提供每个工具的示例。
结果：我们成功地实施了这门课程，得到了学生的积极欢迎。
结论：本课程不仅代表了HSS与基础科学和临床医学整合的一步，而且是培训未来临床医生以提供高价值护理的进步。未来的课程开发必须考虑验证临床推理的措施，评估学生的能力，以认知综合的方式思考基础科学，HSS,和临床医学通过增强临床推理的合理性和更全面的计划患者护理的方法来证明。
