把社会科学和行为科学融入医学本科生课程──旧金山加州大学的基础核心课程

Integrating the Social and Behavioral Sciences in an Undergraduate Medical Curriculum: The UCSF Essential Core

为适应改变中的卫生服务需要，2001年美国旧金山加州大学医学院开发了一种以生物─心理─社会模式为基础的新课程。这一课程将四年的医学院教育区分成三个阶段：基础核心课程、临床核心课程和高级学习。本文扼要介绍了社会科学和行为科学在基础核心课程阶段以临床病例为中心的各学段中的作用。对基本的专题领域、内容例证、医学文化和过程均作了介绍，对新课程存在的问题和局限也进行了讨论。

In order to meet the needs for changing health service， the UCSF developed a new curriculum based on the bio-psycho-social model in 2001. the new curriculum was divided into three stages spanning four years: the Essential Core， the Clinical Core， and Advanced Studies. This article summarizes the role of the social and behavioral sciences in the essential blocks， each centered on clinical cases. Basic thematic area， content illustration， the culture of medicine， and process considerations are presented. Special challenges and limitation are also discussed.