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[医学培训中的精神科教育与文化因素:拉丁美洲视角]

[Psychiatric education and cultural components during medical training: Latin American perspectives].

作者信息

Alarcón Renato D, Suarez-Richards Manuel, Sarabia Silvana

机构信息

Sección de Psiquiatría, Departamento de Ciencias Médicas y Cátedra Honorio Delgado, Universidad Peruana Cayetano Heredia, Lima, Perú

Departamento de Psiquiatría, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, Argentina.

出版信息

Rev Peru Med Exp Salud Publica. 2014 Jul-Sep;31(3):557-65.

PMID:25418657
Abstract

Medical education has incorporated psychiatric or mental health components more consistently during the last decades thanks to various factors such as: advances in neurobiological research; the increasing prevalence of mental disorders in global health; the increasingly close relationship between mental health and public health; comorbidities with medical conditions and the impact of sociocultural phenomena in clinical manifestations, diagnosis, treatment, prognosis and prevention. Based on acquisition of core competencies and ethical principles of universal acceptance, the teaching process examined in this article proposes an education based on the provision of clinical experiences integrated throughout the collection of adequate information, the development of diagnostic capabilities, and exposure to a wide variety of forms of academic assessment of students and residents in training. The cultural components of psychiatric education receive special mention; we provide examples of their systematic integration with the acquisition of general skills. The teaching tools include theoretical and applied activities and supervision. Particular attention is paid to how the principles of modern psychiatric medical education, including cultural aspects and practice of holistic health care objectives, can and should be in effect in Latin American countries.

摘要

在过去几十年里,由于多种因素,医学教育更加持续地纳入了精神病学或心理健康内容,这些因素包括:神经生物学研究的进展;全球健康领域精神障碍患病率的上升;心理健康与公共卫生之间日益密切的关系;与医疗状况的共病情况以及社会文化现象对临床表现、诊断、治疗、预后和预防的影响。基于获得普遍认可的核心能力和道德原则,本文所探讨的教学过程提出了一种基于提供临床经验的教育,这种临床经验贯穿于收集充分信息、培养诊断能力以及让学生和住院医师在培训中接受多种形式学术评估的全过程。精神病学教育的文化组成部分受到特别提及;我们提供了将其与一般技能的获得进行系统整合的示例。教学工具包括理论和应用活动以及监督。特别关注现代精神病医学教育的原则,包括文化方面和整体医疗保健目标的实践,如何能够且应该在拉丁美洲国家生效。

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