美国医疗教育改革提案的相似性和频率. 不断的担忧 不断的担忧
1Department of Medicine, University of Chicago, IL, USA.
JAMA
|September 6, 1995
概括
倡导医疗教育改革的报告始终强调为公共利益服务和解决劳动力需求. 这些一致的改革目标源于共同的价值观和议程,促进专业的社会作用和自我监管.
科学领域:
- 医学教育研究 医学教育研究
- 职业社会学的社会学
- 卫生政策分析 卫生政策分析
背景情况:
- 对医疗教育改革报告的历史分析揭示了反复出现的主题和目标.
- 了解推动这些改革的基本价值观和议程对于有效的政策制定至关重要.
研究的目的:
- 确定影响医学教育改革报告的核心价值观和议程.
- 解释改革提议在一段时间内的一致性和反复颁布的原因.
主要方法:
- 1910年至1993年间出版的主要本科医学教育改革报告的系统审查和内容分析.
- 纳入标准侧重于直接涉及本科医学教育的报告,并提供一致的建议.
主要成果:
- 报告一贯阐述医学院为社会服务的社会愿景.
- 核心改革目标包括为公共利益服务,解决劳动力需求,管理知识扩展和促进普遍主义.
- 提出的改革重点是教学方法,内容,教师发展和组织结构,自1910年以来一直出现.
结论:
- 改革目标和提案的持续相似性是由共同的价值观和潜在的议程驱动的.
- 隐含的议程包括肯定医疗行业的社会作用和保持自我监管.
- 这些因素解释了医疗教育中对类似改革的持续关注和反复倡导.
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