医学の大学院教育における専門性の増大
F G Donini-Lenhoff1, H L Hedrick
1American Medical Association, 515 N State St, Chicago, IL 60610, USA. fred_lenhoff@ama-assn.org
JAMA
|September 9, 2000
まとめ
卒業医学教育 (GME) は急速に専門化しており,承認された医療実践分野における矛盾をもたらしています. この歴史的概要では,GMEを検証しています.
科学分野:
- 医療教育 医療教育について
- 医者の専門分野について
- 保健医療政策について
背景:
- 医科大学院教育 (GME) と医師実務専門は急速に拡大しています.
- この傾向に,全国的に注目が集まっている.
- 新しいGME領域のための既存の承認メカニズムには一貫した一致性がない.
研究 の 目的:
- GME専門性の成長のための歴史的文脈を提供するために.
- 認定されたスペシャリティとサブスペシャリティの進化を分析する.
- GMEの非構造的成長による変動を検証する.
主な方法:
- GMEの標準化と認定の歴史的レビュー.
- 20世紀初頭以降のGME成長パターンの分析.
- 認定された専門分野,サブスペシャリティ,実践分野における変動の検討.
主要な成果:
- GMEは20世紀初頭から著しい成長と専門化を経験してきました.
- 第二次世界大戦はGMEの拡大に影響を与えた.
- 認定された専門分野,サブスペシャリティ,および自己指定の実践分野には大きな違いがあります.
結論:
- GMEの歴史的発展は,重要な専門化につながりました.
- 承認プロセスにおける不一致は,慣行の変動に寄与する.
- GMEの進化を理解することは,現在の専門化傾向に対処するために不可欠です.
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