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好的医学实践还是 CanMEDS 教育?

Good Medical Practice or CanMEDS for education?

机构信息

Department of Clinical Chemistry, Northern General Hospital, Sheffield, UK.

出版信息

J Clin Pathol. 2012 Jun;65(6):565-7. doi: 10.1136/jclinpath-2011-200583. Epub 2012 Jan 28.

Abstract

BACKGROUND

The medical regulator in the UK, the General Medical Council, requires curricula and assessments for postgraduate training to be blueprinted to its regulatory statement, Good Medical Practice. A similar document, Tomorrow's Doctors (2009), covers undergraduate education and training. Good Medical Practice, originally designed to regulate medical practice, is not optimally worded as an educational document. The Royal College of Physicians and Surgeons of Canada's physician competency framework known as CanMEDS is designed with education more centrally in mind.

METHODS

The wordings of Good Medical Practice and Tomorrow's Doctors (2009) were compared with CanMEDS using 'word clouds', a textual analysis tool which provides a display of word frequency, revealing the emphasis in the wording of documents.

RESULTS

Good Medical Practice places much greater emphasis on the regulatory rather than the educational aspects of medical practice when compared with CanMEDS and is therefore less suitable for blueprinting curricula, especially in disciplines with high science content such as pathology.

CONCLUSIONS

Good Medical Practice is less suitable for an educational role and the General Medical Council should consider developing a more specific educational document around these principles.

摘要

背景

英国的医疗监管机构——医学总会(General Medical Council)要求研究生培训课程和评估按照其监管声明《良好行医规范》(Good Medical Practice)进行规划。一份类似的文件《明日医生》(Tomorrow's Doctors,2009 年)涵盖了本科教育和培训。《良好行医规范》最初是为了规范医疗实践而设计的,作为一份教育文件,其措辞并不理想。加拿大皇家内外科医师学院(Royal College of Physicians and Surgeons of Canada)的医师能力框架称为 CanMEDS,其设计更注重教育。

方法

使用“文字云”(一种文本分析工具)比较《良好行医规范》和《明日医生》(2009 年)与 CanMEDS 的措辞,文字云提供了词汇频率的显示,揭示了文件措辞的重点。

结果

与 CanMEDS 相比,《良好行医规范》更加强调医疗实践的监管方面,而不是教育方面,因此不太适合规划课程,尤其是在病理学等具有高科学内容的学科。

结论

《良好行医规范》不太适合教育角色,医学总会应考虑围绕这些原则制定一份更具体的教育文件。

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