米国医学教育改革の提案の類似性と頻度. 絶えず心配していること
1Department of Medicine, University of Chicago, IL, USA.
JAMA
|September 6, 1995
まとめ
医療教育改革を提唱する報告書は,一貫して公共の利益に奉仕し,労働力のニーズに対応することを強調しています. これらの一貫した改革目標は,職業の社会的役割と自己規制を促進する共通の価値観と議題から生じている.
科学分野:
- 医学教育研究 医学教育研究
- 職業社会学の社会学について
- 健康政策分析 医療政策分析
背景:
- 医学教育改革報告書の歴史的分析は,繰り返し現れるテーマと目標を明らかにしています.
- これらの改革を推進する根本的な価値と課題を理解することは,効果的な政策開発に不可欠です.
研究 の 目的:
- 医療教育改革報告書に影響を与える核心的価値と課題を特定する.
- 改革案の一貫性や,時を経て繰り返し公布されたことを説明する.
主な方法:
- 1910年から1993年の間に発表された主要な大学院医学教育改革報告書の体系的なレビューと内容分析.
- 含有基準は,一貫した勧告を備えた大学院医学教育を直接扱った報告書に焦点を当てた.
主要な成果:
- 報告書は一貫して,社会に奉仕する医学部の社会的ビジョンを明確に述べています.
- 改革の主な目的は,公共の利益に奉仕し,労働力のニーズに対処し,知識の拡大を管理し,一般主義を促進することです.
- 提案された改革は,教学方法,内容,教員育成,組織構造に焦点を当てており,1910年以来一貫して出現しています.
結論:
- 改革の目標と提案の継続的な類似性は,共通の価値観と根本的なアジェンダによって引き起こされています.
- 暗黙の議題には,医療従事者の社会的役割を肯定し,自己規制を維持することが含まれる.
- これらの要因は,医学教育における同様の改革に対する一貫した焦点と繰り返し提唱を説明する.
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