Crisp A H
St. George's Hospital Medical School, London, UK.
Postgrad Med J. 1990 Aug;66(778):627-38. doi: 10.1136/pgmj.66.778.627.
The free movement of doctors within the European Community demands harmonization of standards of medical practice and carries major implications of an undergraduate and postgraduate educational kind. These have begun to be addressed by the first three Medical Directives and also by a series of reports produced by the Advisory Committee on Medical Training to the European Community. This Committee was established in 1975 in order to provide informed agreed advice to the Commission. Many tasks remain to be tackled. A system of mutual inspection of the examination processes and standards in Member States should be established. Control must be exercised over the numbers of doctors produced since educational resources, including numbers of patients available for study, are limited. Thus, excellent standards of medical practice can only be developed and maintained if the primacy of clinical skills derived from the study of patients is recognized as essential in this respect. In some Member States at the present time there are many unemployed and therefore presumably deskilled doctors.
医生在欧洲共同体内的自由流动要求统一医疗实践标准,并对本科和研究生教育产生重大影响。前三项医疗指令以及欧洲共同体医学培训咨询委员会编写的一系列报告已开始着手解决这些问题。该委员会于1975年成立,旨在向委员会提供有根据的一致意见。仍有许多任务有待解决。应建立成员国考试程序和标准的相互检查制度。由于教育资源(包括可供研究的患者数量)有限,必须对医生培养数量加以控制。因此,只有认识到从患者研究中获得的临床技能的首要地位在这方面至关重要,才能制定和维持卓越的医疗实践标准。目前在一些成员国,有许多医生失业,因此可能技术生疏。