Reid William A
Department of Pathology, College of Meicine & Veterinary Medicine, Univercity of Edinburgh, Little France, Edinburgh EH16 4SA Scotland, UK.
J Vet Med Educ. 2007 Fall;34(4):390-5. doi: 10.3138/jvme.34.4.390.
In the United Kingdom, the medical students of yesteryear undertook a detailed pathology course, often with its own major examinations. This contributed to the increasing overload of factual information that was common in medical curricula. Following General Medical Council reports on medical education, pathology is now more fully integrated into clinical work and into problem-based learning, albeit with greatly reduced contact time with pathologists. Teaching methods have shifted from didactic presentations, such as lectures, to more varied methods, with emphasis on self-access and interactivity. Technological advances have brought well-illustrated textbooks, computer-assisted learning programs, Web resources, and electronic communication. There has been a decline in the role of museum specimens, microscopy, and, partly following a worldwide trend and partly following adverse media publicity, the traditional autopsy. Assessment methods have evolved, with integration of pathology into wider examinations. The greater drive toward increasing funding through the Research Assessment Exercise has had an adverse effect on teaching throughout universities. Despite these setbacks, the importance of pathology as a clinical discipline will ensure its continued role in medical education.
在英国,过去的医学生要学习一门详细的病理学课程,通常还有自己的主要考试。这导致了医学课程中常见的事实性信息负担日益加重。继医学总会关于医学教育的报告发布后,病理学现在已更全面地融入临床工作和基于问题的学习中,尽管与病理学家的接触时间大幅减少。教学方法已从诸如讲座之类的说教式授课,转变为更多样化的方法,强调自主学习和互动性。技术进步带来了图文并茂的教科书、计算机辅助学习程序、网络资源和电子通信。博物馆标本、显微镜检查的作用有所下降,并且部分由于全球趋势以及部分由于媒体的负面报道,传统尸检的作用也有所下降。评估方法已经演变,病理学已融入更广泛的考试中。通过研究评估活动增加资金的更大动力对整个大学的教学产生了不利影响。尽管有这些挫折,但病理学作为一门临床学科的重要性将确保其在医学教育中继续发挥作用。