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Related Experiment Videos

Defining a generalist education: an idea whose time is still coming

M Glasser1, J Stearns, R McCord

  • 1Department of Family and Community Medicine, University of Illinois College of Medicine at Rockford 61107.

Academic Medicine : Journal of the Association of American Medical Colleges
|January 1, 1995
PubMed
Summary
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Generalist medical education emphasizes skills for patient wellness, communication, and cost control, differing from traditional curricula. Community-based training significantly impacts students and faculty, requiring institutional shifts in attitude and behavior.

Area of Science:

  • Medical Education
  • Generalist Medicine
  • Community Health

Background:

  • Traditional medical curricula focus on illness, while generalist education prioritizes wellness, patient expectations, and cost-effectiveness.
  • Generalist education requires specific skills in clinical epidemiology and interpersonal communication.
  • The University of Illinois College of Medicine at Rockford pioneered community-based medical education.

Purpose of the Study:

  • To evaluate the impact of a community-based generalist medical education model.
  • To assess student and faculty reactions to integrated clinical training.
  • To track the long-term effects of generalist training on graduates.

Main Methods:

  • Implementation of a community-based curriculum with early clinical exposure.

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  • Conducting various evaluations of student and faculty experiences.
  • Performing follow-up studies on graduated students.

    • Main Results:

    • The Rockford experience demonstrates the necessity of curriculum-wide support for generalist education.
    • Faculty in primary care require a unified knowledge base in generalist medicine theory and practice.
    • Transitioning to generalist education necessitates attitudinal and behavioral changes across the academic institution.

    Conclusions:

    • Community-based generalist medical education requires comprehensive institutional commitment.
    • Faculty development and a shared understanding of generalist principles are crucial.
    • Successful implementation of generalist education involves a cultural shift within academic medicine.