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Implementing change in medical education in developing countries.

R C Bandaranayake

    Medical Teacher
    |January 1, 1989
    PubMed
    Summary
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    Medical schools in developing countries need strategic curriculum innovation to meet local needs. This guide offers a philosophy for change, addressing challenges like international standards and licensing exams for effective education reform.

    Area of Science:

    • Medical Education
    • Curriculum Development
    • International Health

    Background:

    • Medical schools in developing nations face challenges adapting inherited curricula to evolving local needs.
    • Conventional medical schools often resist curricular changes, hindering educational relevance.

    Purpose of the Study:

    • To guide innovators in developing countries on adapting medical education curricula.
    • To critically examine the impact of international standards and national licensing on curriculum innovation.
    • To provide a framework for sustainable curricular change and outcome evaluation.

    Main Methods:

    • Analysis of challenges in adapting medical curricula in resource-limited settings.
    • Scrutiny of the influence of international standards and national licensing examinations.

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  • Development of guidelines for implementing and evaluating educational innovations.
  • Main Results:

    • International standards for medical education are often hypothetical and may not suit local contexts.
    • National licensing examinations can negatively impact curricular innovation efforts.
    • Ad hoc changes are ineffective; a coherent philosophy of change is essential for successful reform.

    Conclusions:

    • A well-defined philosophy of change is crucial for effective medical curriculum innovation.
    • Innovators need strategies to navigate external pressures like international standards and licensing exams.
    • Guidelines are provided for sustaining innovations and evaluating their long-term impact on professional education.