Topps Maureen, Strasser Roger
Postgraduate Education, Northern Ontario School of Medicine, 935 Ramsey Lake Rd., Sudbury ON P3E 2C6, USA.
Can J Rural Med. 2010 Winter;15(1):19-25.
With the burgeoning role of distributed medical education and the increasing use of community hospitals for training purposes, challenges arise for undergraduate and postgraduate programs expanding beyond traditional tertiary care models. It is of vital importance to encourage community hospitals and clinical faculty to embrace their roles in medical education for the 21st century. With no university hospitals in northern Ontario, the Northern Ontario School of Medicine and its educational partner hospitals identified questions of concern and collaborated to implement changes. Several themes emerged that are of relevance to any medical educational program expanding beyond its present location. Critical areas for attention include the institutional culture; human, physical and financial resources; and support for educational activities. It is important to establish and maintain the groundwork necessary for the development of thriving integrated community-engaged medical education. Done in tandem with advocacy for change in funding models, this will allow movement beyond the current educational environment. The ultimate goal is successful integration of university and accreditation ideals with practical hands-on medical care and education in new environments.
随着分布式医学教育的作用不断扩大，以及社区医院用于培训目的的频率日益增加，本科和研究生项目在超越传统三级医疗模式进行扩展时面临挑战。鼓励社区医院和临床教师在21世纪的医学教育中发挥作用至关重要。安大略省北部没有大学医院，安大略省北部医学院及其教育合作伙伴医院确定了关切问题并合作实施变革。出现了几个与任何超出其当前所在地进行扩展的医学教育项目相关的主题。需要关注的关键领域包括机构文化、人力、物力和财力资源以及对教育活动的支持。建立和维持蓬勃发展的社区参与式综合医学教育发展所需的基础非常重要。与倡导改变资助模式同步进行，这将使我们能够超越当前的教育环境。最终目标是在新环境中将大学和认证理念与实际动手的医疗护理和教育成功整合。
