Lockwood A M, Roberts A M
Department of Anatomy, University of Bristol, Bristol, United Kingdom.
Clin Anat. 2007 May;20(4):455-9. doi: 10.1002/ca.20427.
In 1993, the UK General Medical Council published Tomorrow's Doctors leading to a nationwide restructuring of undergraduate medical courses. Traditional courses with distinct pre-clinical and clinical phases gave way to a more integrated approach to undergraduate medical education, with an emphasis on the quality and variety of teaching provided. More than a decade after Tomorrow's Doctors, postgraduate medical training is being transformed. Modernising Medical Careers is leading to the introduction of a two-year Foundation Programme, with subsequent streamlined specialist training. In the context of these changes, we consider how the creation of posts for medically-qualified anatomy demonstrators would present an opportunity to fulfil needs in both undergraduate education and postgraduate training. We outline the threats facing established posts, and how these problems may be resolved. We hope that this overview of the challenges facing undergraduate and postgraduate education in the UK, with particular reference to anatomy, may offer some useful insight to teachers and learners in other countries. We conclude that the role of the medically-qualified anatomy demonstrator has proved valuable in the context of Tomorrow's Doctors, and that this role can evolve and expand as part of the 21st century "modern medical career."
1993年，英国医学总会发布了《明日之医》，引发了全国范围内本科医学课程的重组。传统的具有明显临床前和临床阶段的课程被一种更综合的本科医学教育方法所取代，这种方法强调所提供教学的质量和多样性。在《明日之医》发布十多年后，研究生医学培训正在发生变革。《医学职业现代化》正促使引入一个为期两年的基础课程，随后进行简化的专科培训。在这些变革的背景下，我们思考为具备医学资格的解剖学示范教员设立职位如何能为满足本科教育和研究生培训的需求提供一个契机。我们概述现有职位面临的威胁以及如何解决这些问题。我们希望这篇对英国本科和研究生教育面临的挑战（特别是涉及解剖学方面）的综述，能为其他国家的教师和学习者提供一些有益的见解。我们得出结论，在《明日之医》的背景下，具备医学资格的解剖学示范教员的角色已证明具有价值，并且这个角色可以作为21世纪“现代医学职业”的一部分不断演变和扩展。
