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临床医学教育的学徒制模式:是时候进行结构性变革了。

The apprenticeship model of clinical medical education: time for structural change.

作者信息

Rassie Kate

机构信息

Clinical Medical Education Fellow, University of Auckland, Auckland.

出版信息

N Z Med J. 2017 Sep 1;130(1461):66-72.

Abstract

The apprenticeship model, which forms the backbone of the current medical education system, has a strong historical precedent (and indeed multiple strengths). It is, however, important to acknowledge that its application to modern medicine is far from perfect, particularly with the breadth and complexity of current hospital systems. Demands on clinician resources, the sheer volume of knowledge our trainees must amass, short attachments and rigorous assessment schedules are all major challenges to a relatively simplistic educational system. Identifying and addressing these vulnerabilities is essential to enhancing the educational experiences of both undergraduate medical students and junior doctors.

摘要

学徒制模式是当前医学教育体系的核心,有着深厚的历史渊源(且确实有诸多优点)。然而,必须认识到,将其应用于现代医学远非完美,尤其是考虑到当前医院系统的广度和复杂性。对临床医生资源的需求、学员必须积累的海量知识、短期实习以及严格的评估安排,对于这样一个相对简单的教育体系来说都是重大挑战。识别并解决这些薄弱环节对于提升本科医学生和初级医生的教育体验至关重要。

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