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触及医学核心:开展本科法医学与病理学教学

Getting to the core of medicine: Developing undergraduate forensic medicine and pathology teaching.

作者信息

Jones Richard Martin

机构信息

Clinical Senior Lecturer in Forensic Pathology, Wales Institute of Forensic Medicine, Cardiff University School of Medicine, Cardiff, Wales, CF14 4XN, UK.

出版信息

J Forensic Leg Med. 2017 Nov;52:245-251. doi: 10.1016/j.jflm.2017.10.006. Epub 2017 Oct 16.

Abstract

Teaching and learning of forensic medicine and pathology in the undergraduate medical curriculum has been in decline for decades in the UK, and yet graduates are expected to be able to recognise, and protect, those who are most vulnerable in society - i.e. at risk of abuse or neglect - a matter highly relevant to the role of the forensic medical practitioner. When Cardiff University School of Medicine created a new 'learner-centred' undergraduate curriculum, championing case-based discussion in small groups, and earlier clinical contact, residual teaching on 'the pathology of trauma' disappeared. An opportunity to create a new course for the year 3 core curriculum, however, led to re-emergence of forensic medicine and pathology, with a focus on identification, and protection, of the 'vulnerable patient'. This paper describes the development process of the first two iterations of that course, and the influence of 'listening to the student voice'. Forensic medicine and pathology remain relevant in undergraduate medical education; effective, and ethical, safeguarding of the vulnerable is an essential 'core' skill of the modern medical graduate, and forensic medical practitioners can play an integral role in the preparation of medical students for their future clinical practice.

摘要

在英国,本科医学课程中法医和病理学的教学与学习在过去几十年里一直在衰退,然而却期望毕业生能够识别并保护社会中最脆弱的人群,即有遭受虐待或忽视风险的人群,这一问题与法医从业者的角色高度相关。当卡迪夫大学医学院创建了一个新的“以学习者为中心”的本科课程,倡导小组案例讨论以及更早的临床接触时,关于“创伤病理学”的剩余教学内容消失了。然而,为三年级核心课程创建新课程的机会,使得法医和病理学再次出现,重点在于识别和保护“弱势患者”。本文描述了该课程前两轮迭代的开发过程,以及“倾听学生声音”所产生的影响。法医和病理学在本科医学教育中仍然具有相关性;有效且合乎道德地保护弱势群体是现代医学毕业生必不可少的“核心”技能,法医从业者在培养医学生未来临床实践能力方面可以发挥不可或缺的作用。

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