冰山的尖端:在本科医学教育中的一般主义,一个系统思维分析分析
Martina Kelly1, Lyn Power2, Ann Lee3
1Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Medical education
|June 15, 2024
概括
医学院通过教学支持普遍主义,但课程结构和生物医学重点阻碍了这一点. 需要新的框架来使教育与社区健康需求保持一致.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 一般医生医生培训班的一般医生
背景情况:
- 全球通用医生短缺影响健康公平和获得护理.
- 医学院的目标是通过毕业的医生感兴趣的一般主义来证明社会责任.
- 医学教育中普遍主义原则的课程实施仍然不清楚.
研究的目的:
- 探讨加拿大本科医学教育 (UME) 的家庭医生教育领导者如何理解和支持一般主义.
- 确定影响促进或阻碍UME课程中的通用培训的因素.
主要方法:
- 定性研究涉及对加拿大17所医学院的38名家庭医学领导人的采访.
- 采访数据的模板分析,以系统思维的冰山模型为指导.
主要成果:
- 四个主题出现了:教学策略,课程模式 (反循环),课程结构 (器官系统重点,教师可用性) 和心理模型 (生物医学主导).
- 课程中的生物医学框架往往会破坏对患者护理的一般主义方法.
- 课程结构和占主导地位的心理模式为通用主义者培训带来了挑战.
结论:
- UME项目利用各种策略来促进普遍性,但结构和认知障碍仍然存在.
- 生物医学和一般主义模型之间的认识不平等妨碍了一般主义的有效整合.
- 新的课程框架对于将UME的社会责任与社区健康要求相协调至关重要.
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