Bates Joanna, Lovato Chris, Buller-Taylor Terri
Department of Family Practice, University of British Columbia, Vancouver, BC.
Healthc Policy. 2008 Nov;4(2):46-58.
To ensure an adequate supply of physicians for the future, Canadian faculties of medicine have been expanding and modifying physician training at the undergraduate and postgraduate levels with the intention of producing more physicians and addressing long-standing challenges in the Canadian physician workforce. While these medical education initiatives may partly address these goals, the lack of alignment between health services policy and education policy may well lead to failures and disappointing results. The authors argue that changes in related healthcare policy are required both to support the intended outcomes and to sustain innovations in medical education. From their perspective as medical educators, the authors describe seven key gaps in this alignment, identify those who are in a position to address them and call for ongoing opportunities to identify, discuss and address alignment of policy with other initiatives at the national and provincial levels.
为确保未来有充足的医生供应,加拿大医学院校一直在本科和研究生阶段扩大并调整医生培训,旨在培养更多医生并应对加拿大医生队伍中长期存在的挑战。虽然这些医学教育举措可能部分实现这些目标,但卫生服务政策与教育政策之间缺乏一致性很可能导致失败和令人失望的结果。作者认为,需要改变相关医疗政策,以支持预期成果并维持医学教育的创新。从医学教育工作者的角度出发,作者描述了这种一致性方面的七个关键差距,确定了有能力解决这些差距的人员,并呼吁创造持续的机会,以在国家和省级层面识别、讨论并解决政策与其他举措的一致性问题。