Charlton R, Sihota J
Institute of Clinical Education, Warwick Medical School, University of Warwick, UK.
Ir Med J. 2011 Jan;104(1):25-6.
Graduate Entry Medicine (GEM) provides both challenges and opportunities for students and teachers alike. These are global issues for Ireland and the UK which are gaining in momentum and synergy with medical education in the USA. They provide an important chance to revisit the tenets of a good doctor and how best to select students for training from an enormous pool of potential applicants. In the UK and Ireland there is a move to Graduate Entry Medicine (GEM) courses to supplement the number of doctor being trained from traditional undergraduate courses mainly populated by school leavers. This is in alignment with the USA where all students are graduate entry and so come to the course with learning in another subject which may or may not be directly related and also life skills and perhaps the experience of working in another profession. For the researcher the big question is; "Do GEM courses lead to better doctors or not?" An ancillary question at time of a global shortage of doctors with its increasing health economy is; "Will GEM aid recruitment to the profession, but more importantly retention?"
研究生入学医学（GEM）对学生和教师来说都既带来挑战也带来机遇。这些是爱尔兰和英国面临的全球性问题，其势头正不断增强，并与美国的医学教育产生协同效应。它们提供了一个重要契机，可重新审视一名优秀医生的原则，以及如何从大量潜在申请者中挑选出最适合接受培训的学生。在英国和爱尔兰，正转向研究生入学医学（GEM）课程，以补充通过主要由高中毕业生构成的传统本科课程培养的医生数量。这与美国的情况一致，在美国所有学生都是研究生入学，因此他们带着另一学科的学习经历（这一学科可能与医学直接相关，也可能不直接相关）以及生活技能，甚至可能还有另一职业的工作经验进入医学课程。对于研究人员来说，最大的问题是：“研究生入学医学（GEM）课程能培养出更优秀的医生吗？” 在全球医生短缺且医疗经济不断增长的背景下，一个附带问题是：“研究生入学医学（GEM）会有助于吸引人们投身该职业，但更重要的是，会有助于留住他们吗？”
