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centers. Our proposal is directed toward aligning training for the primary care physician with the realities of 21stcentury practice. However, the contribution of residency training to the care of the underserved is not a new feature. For most of the 20th century, residents served an important role in providing predominately inpatient care for the underserved. A proposal published in 1986 advocated expanding this role to the munity ambulatory setting. However, the association of ambulatory graduate medical education with care for the underserved has been constrained by policy on graduate medical education funding. Current legislative initiatives that are part of health care reform provide a way to achieve this linkage by means of teaching health centers. Teaching health centers provide an optimal training environment for graduate medical education, given their close faculty supervision and the e mphasis on patientcentered care, and represent the future of highquality medical practice. Primary care residents trained in this setting could immediately increase the clinical capacity of munity health centers. In addition, many of the graduates would provide access to lowcost primary care services for the projected increased number of underserved patients. By providing both the leadership to establish teaching health centers— in affiliation and partnership with munity health centers— and the expertise to generate data for evaluating multiple parameters to measure success, academic health centers and teaching hospitals can make a major contribution to health care reform. By increasing access to primary care, teaching health centers would be a major step in forging a link between achieving fiscally feasible universal coverage and reforming the health care delivery system。本科畢業(yè)設(shè)計(jì)(論文) 外 文 翻 譯 原文: Teaching Primary Care in Community Health Centers THE TEACHING HEALTH CENTER: A DEFINITIVE APPROACH TO THESE KEY PROBLEMS By expanding and integrating existing programs and resources, we propose to establish primary care resident ambulatory training programs in munity health centers. These programs could begin increasing the output of welltrained primary care physicians, many of whom would be mitted to caring for the underserved, as soon as July 2020. Teaching health centers would be required to be located in a munity health center in a primary care health professional shortage area as designated by the Health Resources and Services Administration。 and have implemented or intend to implement Nationa