Dr. ten Cate is professor of medical education and director, Center for Research and Development of Education, University Medical Center Utrecht, Utrecht, The Netherlands.
Acad Med. 2014 Jul;89(7):966-9. doi: 10.1097/ACM.0000000000000280.
The undergraduate medical degree, leading to a license to practice, has traditionally been the defining professional milestone of the physician. Developments in health care and medical education and training, however, have changed the significance of the medical degree in the continuum of education toward clinical practice. The author discusses six questions that should lead us to rethink the current status and significance of the medical degree and, consequently, that of the physician. These questions include the quest for core knowledge and competence of the doctor, the place of the degree in the education continuum, the increasing length of training, the sharing of health care tasks with other professionals, and the nature of professional identity in a multitasking world. The author concludes by examining ways to redefine what it means to be a "medical doctor."
本科医学学位是行医的许可证，传统上一直是医生职业生涯的重要里程碑。然而，医疗保健和医学教育与培训的发展改变了医学学位在从教育到临床实践的连续体中的意义。作者讨论了六个问题，这些问题应该促使我们重新思考医学学位以及由此产生的医生的现状和重要性。这些问题包括对医生核心知识和能力的追求、学位在教育连续体中的地位、培训时间的延长、与其他专业人员分担医疗任务，以及在多任务世界中专业身份的性质。作者最后探讨了重新定义“医学博士”含义的方法。
