Walsh Kieran
Clinical director, BMJ Learning, BMJ Publishing Group, BMA House, Tavistock Square, London WC1H 9JR, United Kingdom.
Pan Afr Med J. 2014 Nov 27;19:333. doi: 10.11604/pamj.2014.19.333.5555. eCollection 2014.
Improvements to postgraduate training have included newly designed postgraduate curricula, new forms of delivery of learning, more valid and reliable assessments, and more rigorous evaluation of training programmes. All these changes have been necessary and have now started to settle in. Now therefore is an appropriate time to look to the future of postgraduate training. Predicting the future is difficult in any course of life-however an examination of recent trends is often a good place to start. In this regard the recent trend to start to produce more doctors and healthcare professionals of the type that the population needs is likely to continue for some time to come. Medical education will also need to be more flexible in the future. The more flexible that training programmes are, the more likely that we will have experts that are sufficiently flexible to meet a range of different challenges throughout the rest of their careers. Medical education will also become more seamless in the future (at present there are probably too many major milestones and transitions in medical education). In the future educators will make much more use of technology enhanced learning, e-learning and simulation in postgraduate medical education. There will also be more pressure on postgraduate training programmes to offer value for money and to be able to demonstrate such value for money. Postgraduate medical education of the future will also be a more personalised and adaptive experience. It will be far more based on learners' individual needs and will be more responsive to those needs. Lastly postgraduate education will be much more closely supervised than it has been in the past. A common theme running through these changes will be patient centredness. This will mean safer training programmes that produce the type of doctors that patients and populations need.
研究生培训的改进措施包括新设计的研究生课程、新的学习交付形式、更有效和可靠的评估，以及对培训项目更严格的评估。所有这些变化都是必要的，现在已经开始稳定下来。因此，现在是展望研究生培训未来的适当时机。在任何生活历程中预测未来都很困难——然而，审视近期趋势往往是一个很好的起点。在这方面，近期开始培养更多符合民众需求类型的医生和医疗保健专业人员的趋势可能会在未来一段时间内持续。未来医学教育也需要更加灵活。培训项目越灵活，我们就越有可能拥有足够灵活的专家，以应对其职业生涯中一系列不同的挑战。未来医学教育也将变得更加无缝衔接（目前医学教育中可能存在太多重大的里程碑和过渡阶段）。未来，教育工作者将在研究生医学教育中更多地利用技术强化学习、电子学习和模拟。研究生培训项目也将面临更大的压力，要提供物有所值的教育，并能够证明其物有所值。未来的研究生医学教育也将是一种更个性化、适应性更强的体验。它将更多地基于学习者的个人需求，并对这些需求做出更积极的响应。最后，研究生教育将比过去受到更严格的监督。贯穿这些变化的一个共同主题将是以患者为中心。这将意味着培养出患者和民众所需类型医生的更安全的培训项目。
