Monkhouse W S, Farrell T B
Department of Anatomy, Royal College of Surgeons in Ireland, Dublin.
Clin Anat. 1999;12(2):131-4. doi: 10.1002/(SICI)1098-2353(1999)12:2<131::AID-CA9>3.0.CO;2-L.
Tomorrow's Doctors, published by the General Medical Council of the UK in December 1993, has prompted far-reaching changes to medical education in Britain. We draw attention to some inconsistencies in the document and to those aspects of it that we maintain are undesirable. We question the emphasis in Tomorrow's Doctors on change in view of the unchanging nature of the structure and function of the human body. We doubt the wisdom of exhorting students to learn through curiosity and experiment, such methods being wasteful of time and resources when used in the context of accepted core material. We do not accept that the information overload is an automatic result of traditional methods of delivering education, and we are by no means convinced that the university model is the right one for medical education. In the face of experts being unable to agree on or to define scientific method, we wonder if consideration of this is appropriate in an undergraduate medical course, and we doubt that ethics and criticism are rightly placed in the undergraduate curriculum. The drawbacks of systems-based teaching are considered in the light of the disease process, and we draw attention to the lack of evidence for the document's condemnation of departmental structures and its uncritical espousal of integration. Finally, we consider some of the ways in which these changes have affected anatomy.
英国医学总会于1993年12月出版的《明日之医》促使英国医学教育发生了意义深远的变革。我们提请注意该文件中的一些矛盾之处以及我们认为不可取的那些方面。鉴于人体结构和功能的本质不变，我们对《明日之医》中对变革的强调提出质疑。我们怀疑鼓励学生通过好奇心和实验来学习是否明智，因为在学习公认的核心内容时采用这些方法会浪费时间和资源。我们不认为信息过载是传统教育方式必然产生的结果，而且我们绝对不相信大学模式是医学教育的正确模式。鉴于专家们无法就科学方法达成一致或给出定义，我们怀疑在本科医学课程中考虑这一问题是否合适，并且我们怀疑伦理学和批判性思维在本科课程中的定位是否恰当。从疾病过程的角度考虑了基于系统的教学的弊端，我们提请注意该文件谴责部门结构且不加批判地支持整合却缺乏证据这一点。最后，我们思考了这些变革影响解剖学的一些方式。
