Dowton S Bruce, Stokes Marie-Louise, Rawstron Evan J, Pogson Philip R, Brown Mark A
Office of the Dean, Faculty of Medicine, University of New South Wales, Randwick, NSW.
Med J Aust. 2005 Feb 21;182(4):177-80. doi: 10.5694/j.1326-5377.2005.tb06649.x.
A key responsibility of the healthcare system is to develop a sustainable workforce through education and training. The complexity of postgraduate medical education and training in Australia requires: recognition that there are many stakeholders (junior medical officers, registrars, teaching clinicians, health departments, governments, colleges and society) with overlapping but competing interests and responsibilities; a national dialogue to clarify the necessary resource investments and to assign explicit accountabilities; and improved coordination and governance, while maintaining appropriate flexibility. In other countries, stronger mechanisms of governance for oversight of postgraduate medical education have emerged, and Australia can learn from these.
医疗保健系统的一项关键职责是通过教育和培训培养一支可持续发展的劳动力队伍。澳大利亚研究生医学教育与培训的复杂性要求:认识到有许多利益相关者(初级医务人员、住院医生、教学临床医生、卫生部门、政府、学院和社会),他们的利益和责任相互重叠但又相互竞争;进行全国性对话,以明确必要的资源投资并明确问责制;以及在保持适当灵活性的同时,加强协调与治理。在其他国家,已经出现了更强有力的研究生医学教育监督治理机制,澳大利亚可以从中学习。