Crown V
University of Pennsylvania Medical Center, Philadelphia.
Acad Med. 1991 Apr;66(4):226-31. doi: 10.1097/00001888-199104000-00012.
There is a growing divergence between the content of research activities in the basic sciences and that of the traditional preclinical courses for medical students. A 1977 study at the University of Pennsylvania School of Medicine (Penn) examined the organization of the school's basic sciences, including surveying the research interests and departmental affiliations of 101 basic science faculty at Penn and interviewing the basic science departments chairmen there and at five other research-intensive schools of medicine. The findings demonstrated overlapping interests among basic science investigators, significant blurring of departmental boundaries, and a divergence between the faculty members' research interests and the disciplines represented by the departments in which these faculty held appointments. A second study a decade later documented that this divergence had increased. This paper also addresses the mounting concern among medical educators in response to these kinds of developments, the effect of such developments on medical education, and issues concerning the teaching of basic sciences, course content, the responsibility of schools of medicine for effecting change, and a possible model for basic science instruction.
基础科学研究活动的内容与面向医学生的传统临床前课程的内容之间的差异正在不断扩大。1977年宾夕法尼亚大学医学院进行的一项研究调查了该校基础科学的组织情况，包括对宾大101名基础科学教员的研究兴趣和部门归属进行调查，并采访了宾大以及其他五所研究密集型医学院的基础科学系主任。研究结果表明，基础科学研究人员之间存在重叠的兴趣，部门界限显著模糊，教员的研究兴趣与他们所在系所代表的学科之间存在差异。十年后的第二项研究表明，这种差异有所增加。本文还探讨了医学教育工作者对这类发展日益增加的担忧、此类发展对医学教育的影响，以及有关基础科学教学、课程内容、医学院校推动变革的责任以及基础科学教学可能模式的问题。
