Sachdeva A K
Department of Surgery, MCP Hahnemann School of Medicine, Philadelphia, Pennsylvania 19129, USA.
Acad Med. 2000 Jul;75(7 Suppl):S35-42. doi: 10.1097/00001888-200007001-00006.
Comprehensive coverage of prevention-related topics in the curricula of medical schools is important for the training of future physicians; however, the changes needed in educational programs to include such topics are likely to challenge many institutions. Faculty members are central to the successful adoption of any new curricular paradigm, yet many of the impediments to change are also likely to be found within the faculty ranks. Achieving major curricular change requires institution leaders to define a new vision and allocate sufficient resources to support faculty efforts. Appropriate steps should be taken to actively involve the faculty early in the process of change and to recruit stakeholders from within the faculty ranks to play prominent roles. The educational models should be based on educationally and scientifically sound underpinnings that will facilitate acceptance of the models by the faculty, and faculty members must be offered appropriate opportunities to develop the skills to successfully implement the models. A school-wide faculty development program should address organizational development, instructional development, and personal development. The expertise needed to design and implement these activities may be secured from within or outside the institution. Individuals who have played key roles in the curricular change process must be rewarded and given appropriate recognition for their contributions. These steps will help in the successful integration of prevention-related topics into the curriculum, which will add a much-needed dimension, resulting in students' being better prepared to address the needs of their patients and the community.
在医学院课程中全面涵盖与预防相关的主题对于培养未来的医生很重要;然而,教育项目为纳入此类主题而需要做出的改变可能会给许多机构带来挑战。教师对于成功采用任何新的课程范式至关重要,但变革的许多障碍也可能存在于教师队伍中。实现重大的课程变革需要机构领导者定义新的愿景并分配足够的资源来支持教师的工作。应采取适当措施,在变革过程早期积极让教师参与进来,并从教师队伍中招募利益相关者发挥重要作用。教育模式应基于教育和科学合理的基础,这将有助于教师接受这些模式,并且必须为教师提供适当的机会来培养成功实施这些模式的技能。全校范围的教师发展项目应涵盖组织发展、教学发展和个人发展。设计和实施这些活动所需的专业知识可以从机构内部或外部获取。在课程变革过程中发挥关键作用的个人必须因其贡献而得到奖励和适当认可。这些步骤将有助于将与预防相关的主题成功融入课程,这将增加一个急需的维度,使学生能更好地准备好满足患者和社区的需求。