Nair Balakrishnan R, Finucane Paul M
Division of Geriatric Medicine, John Hunter Hospital, New Lambton, NSW.
Med J Aust. 2003 Sep 1;179(5):257-9. doi: 10.5694/j.1326-5377.2003.tb05533.x.
Medical education must adapt to change if it is to remain relevant to the needs of doctors, patients and society. Ideally, it should anticipate and lead change. Undergraduate education remains rooted in urban medical schools where the focus is on acute disease, while most graduates spend their working lives in the community, dealing mainly with chronic health problems. Medical graduates need to acquire specific knowledge, skills and attitudes if they are to effectively manage people with chronic disease. Strategies that create a better balance between education in acute and chronic disease are being developed. These include a transfer of clinical teaching to community and nursing home settings and the development of interdisciplinary teaching.
医学教育若要与医生、患者及社会的需求保持相关，就必须适应变革。理想情况下，它应预见并引领变革。本科教育仍然扎根于城市医学院校，其重点是急性病，而大多数毕业生的职业生涯是在社区度过的，主要处理慢性健康问题。医学毕业生若要有效管理慢性病患者，就需要掌握特定的知识、技能和态度。正在制定一些策略，以便在急性病和慢性病教育之间实现更好的平衡。这些策略包括将临床教学转移到社区和养老院环境中，以及开展跨学科教学。
