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Embracing the collective through medical education
1University of Plymouth, Plymouth, UK. alan.bleakley@plymouth.ac.uk.
North American medical education struggles with heroic individualism, resisting collaborative, patient-centered care. Embracing collectivism is crucial for modern healthcare reform and universal health coverage.
Area of Science:
- Medical Education
- Health Care Practices
- Public Health Policy
Background:
- Advances in Health Sciences Education: Theory and Practice promotes collaboration between medical educators and practitioners.
- Heroic individualism, a historical pattern, compromises networked approaches in medical practice.
- North American medical education particularly exhibits resistance to collectivist reforms.
Purpose of the Study:
- To investigate the historical roots of individualism in North American medical education.
- To analyze the tension between individualism and collectivism in healthcare reform.
- To advocate for the adoption of democratic habits and collectivism in medical education and practice.
Main Methods:
- Historical analysis of influential thinkers shaping North American medical education.
- Tracking resistance to collectivist medical-educational reform.
- Examining the influence of the Protestant-Capitalist individualist tradition.
Main Results:
- Heroic individualism, rooted in a mid-nineteenth century nexus, continues to influence North American medical education.
- Resistance to collectivist reform is evident in healthcare systems, notably the lack of universal health care in the USA.
- A fictional 'golden age' of medical practice is recalled, overshadowing current inter-professional team practices.
Conclusions:
- The tension between individualism and collectivism in medical education is a significant political issue.
- Medical education must move beyond historical individualism to embrace patient-centered and inter-professional practices.
- Adopting collectivist principles is essential for advancing healthcare reform and achieving universal health coverage.
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