重新定义医学院的社会责任 - 超越代码和合同来衡量贡献
Sean Tackett1, Mohamed Elhassan Abdalla2, Sateesh Babu Arja3
1Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland.
Medical teacher
|January 9, 2026
概括
医学院面临着对其社会影响的持续审查,尽管世界卫生组织在1995年对社会责任的定义. 未来的努力应集中在多样化的社区贡献和透明的数据共享上,以便更好地与社会需求保持一致.
科学领域:
- 医学教育 医学教育
- 公共卫生政策 公共卫生政策
- 卫生社会学 卫生社会学
背景情况:
- 1995年,世界卫生组织 (WHO) 定义了医学院的社会责任,但人们仍然担心它们对社会的贡献.
- 历史观点,包括亚伯拉罕·弗莱克斯纳的"代码"和世卫组织的社会"合同",强调了对医学院不断变化的期望.
研究的目的:
- 为世卫组织对社会责任的定义提供历史背景.
- 为了将世卫组织的社会契约与弗莱克斯纳的利他主义守则进行对比.
- 确定当代障碍,并提出医学院社会责任的未来方向.
主要方法:
- 医学教育中的社会责任定义和概念的历史分析.
- 讨论当代挑战,包括语义假设,地理范围,融资和结果预期.
- 为未来的社会责任模型开发概念框架.
主要成果:
- 世卫组织的"价值对金钱"合同和弗莱克斯纳对医学院的利他主义"代码"之间存在显著的分歧.
- 社会问责制的障碍包括不清楚的术语,未定义的社区服务领域,财务模型和结果指标.
- 社会问责制的未来模式强调了当地到全球社区的多样性贡献.
结论:
- 医学院必须超越传统的规范和合同,接受对社会责任的更广泛理解.
- 数据共享的透明度对于实现外部评估和促进关于将医学教育与社区需求相协调的对话至关重要.
- 关于医学院价值的普遍共识不太可能实现;因此,通过数据赋予外部判断权力至关重要.
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