Drees Betty M, Arnold Louise, Jonas Harry S
Department of Internal Medicine, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri 64108, USA.
Acad Med. 2007 Apr;82(4):361-9. doi: 10.1097/ACM.0b013e3180332f33.
The University of Missouri-Kansas City (UMKC) School of Medicine is a public medical school that opened in 1971 in response to a need to train more physicians in Missouri. As a six-year, integrated, combined-degree program leading to the baccalaureate and medical degrees, the school offers an innovative, nontraditional approach to medical education. In the past 35 years, UMKC has graduated over 2,400 physicians who are successful according to outcomes measures used at other medical schools. With recent interest in reforming medical education to prepare physicians for a changing world, a review of alternative models may be especially instructive.UMKC's academic plan offers a blueprint for the curriculum plan and governance of the school. The plan is built on four hallmarks: (1) a combined baccalaureate/MD program, (2) early exposure to clinical medicine, (3) small-group learning through the docent system, and (4) a continuing ambulatory care clinic experience for four years. This article catalogs the results of this plan including student, faculty, and graduates' perceptions of and satisfaction with the school's educational approach, students' achievement on licensing examinations and in the residency match, graduates' performance in residency programs, and their subsequent career patterns. The authors also discuss lessons learned and adjustments made in response to local needs in the context of a changing environment in education, health care, and health care delivery while continually improving the school's nontraditional approach to medical education. These include changes in basic and clinical science instruction, student assessment, faculty development, and funding and governance.
密苏里大学堪萨斯城分校医学院是一所公立医学院，于1971年开办，以满足密苏里州对培养更多医生的需求。作为一个为期六年的综合性联合学位项目，可授予学士学位和医学学位，该学院提供了一种创新的、非传统的医学教育方法。在过去35年里，密苏里大学堪萨斯城分校已培养了2400多名医生，根据其他医学院采用的成果衡量标准，这些医生都很成功。鉴于最近对改革医学教育以使医生为不断变化的世界做好准备的关注，对替代模式的审视可能会特别具有启发性。密苏里大学堪萨斯城分校的学术计划为学院的课程计划和管理提供了蓝图。该计划基于四个特点：（1）学士学位/医学博士联合项目；（2）早期接触临床医学；（3）通过讲解员系统进行小组学习；（4）为期四年的持续门诊护理临床体验。本文列举了该计划的成果，包括学生、教师和毕业生对学院教育方法的看法和满意度、学生在执照考试和住院医师匹配中的成绩、毕业生在住院医师项目中的表现以及他们随后的职业模式。作者还讨论了在教育、医疗保健和医疗服务不断变化的环境中，根据当地需求吸取的经验教训和做出的调整，同时不断改进学院非传统的医学教育方法。这些调整包括基础和临床科学教学、学生评估、教师发展以及资金和管理方面的变化。
