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网络空间中的医学教育:卫生系统中的关键考量因素

Medical education in cyberspace: critical considerations in the health system.

作者信息

Yazdani Shahram, Khoshgoftar Zohreh, Ahmady Soleiman, Rastegarpour Hassan, Foroutan Seyed Abbas

机构信息

Faculty of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Educational Technology, Kharazmi University, Tehran, Iran.

出版信息

J Adv Med Educ Prof. 2017 Jan;5(1):11-20.

Abstract

INTRODUCTION

Over the past few decades, two revolutionary approaches have emerged as a new form of medical education: Electronic Medical Education and Web-based Medical Education. A number of well-known medical institutions, such as Harvard and Johns Hopkins used a wide range of cyberspace capabilities to increase their competitiveness. Researchers have expressed that cyberspace will change health system's main objective of training physicians and medical education. We conducted this study to identify the health system critical considerations on core issues, involving the development of medical education on cyberspace.

METHODS

In order to conduct this study, we observed the steps of a critical literature review, combined with the 'Four-phase method' adopted by Carnwell and Daly. We focused on particular literature on health and cyber system functions; it was associated with systemic approach.

RESULTS

We developed a six-level taxonomy, Cyber level, Governance level, Ministerial level, Organizational level, Program level and Performance level, as a key solution that can be applied for the success of medical education on cyberspace. The results were summarized and appraised in more details.

CONCLUSION

Medical education on cyberspace is a complex interdisciplinary system. It is important that all aspects of the health systems be involved as integral to the development of cyber based medical education; without this convergence, we will be confused by the decisions made by others within the system. Health system should also communicate with those external sectors that are critical to achieving better learning on cyberspace. Integrated planning, governance and management of medical education in cyberspace are pivotal elements for the promotion.

摘要

引言

在过去几十年里,出现了两种革命性的方法,作为医学教育的新形式:电子医学教育和基于网络的医学教育。一些著名的医疗机构,如哈佛和约翰·霍普金斯,利用广泛的网络空间能力来提高其竞争力。研究人员表示,网络空间将改变卫生系统培训医生和医学教育的主要目标。我们开展这项研究,以确定卫生系统在核心问题上的关键考虑因素,这些问题涉及网络空间医学教育的发展。

方法

为了开展这项研究,我们遵循了批判性文献综述的步骤,并结合了卡恩韦尔和戴利采用的“四阶段法”。我们重点关注了关于健康和网络系统功能的特定文献;它与系统方法相关。

结果

我们开发了一个六级分类法,即网络层面、治理层面、部级层面、组织层面、项目层面和绩效层面,作为一种关键解决方案,可应用于网络空间医学教育的成功实施。对结果进行了更详细的总结和评估。

结论

网络空间医学教育是一个复杂的跨学科系统。卫生系统的各个方面作为基于网络的医学教育发展的一个组成部分参与进来很重要;没有这种融合,我们会被系统内其他人做出的决策所迷惑。卫生系统还应与那些对在网络空间实现更好学习至关重要的外部部门进行沟通。网络空间医学教育的综合规划、治理和管理是推广的关键要素。

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