College of Medicine, Swansea University, Grove Building, Singleton Park, Swansea SA2 8PP, Wales, UK.
Med Teach. 2011;33(8):626-31. doi: 10.3109/0142159X.2011.590245.
Although many health issues transcend national boundaries and require international co-operation, global health is rarely an integral part of the medical curriculum. While medical schools have a social responsibility to train healthcare professionals to serve local communities, the internationalisation of medical education (e.g. international medical students, export of medical curricula or medical schools) makes it increasingly difficult to define it as 'local'. It is therefore necessary to produce practitioners who can practice medicine in an ever-changing and unpredictable world. These practitioners must be clinically and culturally competent as well as able to use their global knowledge and experience to improve health and well-being, irrespective of where they eventually practice medicine. Global health practitioners are tomorrow's leaders, change agents and members of effective multiprofessional teams and so need to be aware of the environmental, cultural, social and political factors that impact on health, serving as advocates of people's rights to access resources, education and healthcare. This article addresses some of the difficulties of developing global health practitioners, offering suggestions for a global health curriculum. It also acknowledges that creating a global health practitioner requires international collaboration and shared resources and practices and places the onus of social accountability on academic leaders.
尽管许多健康问题超越国界，需要国际合作，但全球健康很少成为医学课程的一个组成部分。虽然医学院有社会责任培训医疗保健专业人员为当地社区服务，但医学教育的国际化（例如国际医学生、医学课程或医学院的输出）使得将其定义为“本地”变得越来越困难。因此，有必要培养能够在不断变化和不可预测的世界中行医的从业者。这些从业者必须具备临床和文化能力，并且能够利用他们的全球知识和经验来改善健康和福祉，无论他们最终在哪里行医。全球卫生从业者是未来的领导者、变革推动者和有效多专业团队的成员，因此需要了解影响健康的环境、文化、社会和政治因素，倡导人们获得资源、教育和医疗保健的权利。本文探讨了培养全球卫生从业者所面临的一些困难，并为全球卫生课程提出了一些建议。它还认识到，培养全球卫生从业者需要国际合作和共享资源和实践，并将社会责任的重担放在学术领袖身上。
