研究生医学教育专业化的增长
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
概括
研究生医学教育 (GME) 迅速专业化,导致批准的医疗实践领域存在不一致. 这个历史概述检查了GME的历史概述.
科学领域:
- 医学教育 医学教育
- 医生专业化 医生专业化
- 医疗保健政策 医疗保健政策
背景情况:
- 研究生医学教育 (GME) 和医生实践专业化正在迅速扩大.
- 全国越来越关注这一趋势.
- 对于新的GME区域,现有的批准机制缺乏一致的一致性.
研究的目的:
- 为GME专业化的增长提供历史背景.
- 分析认可专业和子专业的演变.
- 检查由GME的非结构化增长引起的变化.
主要方法:
- 关于GME标准化和认证的历史审查.
- 从20世纪初开始对GME增长模式的分析.
- 检查认可专业,子专业和实践领域的变化.
主要成果:
- 自20世纪初以来,GME经历了显著的增长和专业化.
- 第二次世界大战影响了GME的扩张.
- 在认可的专业,子专业和自定义的实践领域之间存在很大差异.
结论:
- GME的历史发展导致了显著的专业化.
- 审批过程中的不一致性导致实践变化.
- 了解GME的演变对于解决当前的专业化趋势至关重要.
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