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英国的医学教育与人口贩运:评估在课程中塑造意识、保护和转介方面的机会的接受程度。

UK medical education on human trafficking: assessing uptake of the opportunity to shape awareness, safeguarding and referral in the curriculum.

机构信息

Barts and The London School of Medicine and Dentistry, London, UK.

Jesus College, Cambridge and the University of Cambridge, Cambridge, UK.

出版信息

BMC Med Educ. 2018 Jun 13;18(1):137. doi: 10.1186/s12909-018-1226-y.

Abstract

BACKGROUND

Human trafficking is a serious violation of human rights, with numerous consequences for health and wellbeing. Recent law and policy reforms mean that clinicians now hold a crucial role in national strategies. 2015 research, however, indicates a serious shortfall in knowledge and confidence among healthcare professionals in the UK, leading potentially to failures in safeguarding and appropriate referral. Medical education is a central point for trafficking training. We ascertain the extent of such training in UK Medical Schools, and current curricular design.

METHOD

We sent Freedom of Information requests to the 34 public UK medical schools, which included a preliminary question on education provision, supplemented with follow-up questions exploring the nature, delivery and format of any education, as well as future curriculum development.

RESULTS

There was a response rate of 97%. A majority (72%) of the schools did not provide trafficking education. 13% of these did, however, offer opportunities outside the formal curriculum. 70% had no plans to implement any education opportunities. Among the 28% of schools providing teaching, 56% integrated this within the core curriculum. 56% only delivered this within a single year of the degree. 67% provided some form of teaching in-person, while 78% used a combination of methods.

CONCLUSION

Medical education on trafficking in the UK is variable and often absent. To produce future clinicians who are competent and capable, there is a need for expanded education on trafficking and research into optimal curriculum design. The UK's new Independent Anti-Slavery Commissioner should work with medical schools to develop an educational strategy urgently to fulfil the UK Government's plans and commitments. Both in the UK and around the world, human trafficking education presents a critical opportunity to address human rights and safeguarding to a generation of new doctors.

摘要

背景

人口贩运是对人权的严重侵犯,对健康和福祉有诸多影响。最近的法律和政策改革意味着临床医生现在在国家战略中扮演着至关重要的角色。然而,2015 年的研究表明,英国的医疗保健专业人员在知识和信心方面存在严重不足,这可能导致在保护和适当转介方面的失败。医学教育是开展人口贩运培训的重点。我们确定了英国医学院中此类培训的程度,以及当前课程设计。

方法

我们向 34 所英国公立医学院发送了信息自由请求,其中包括一个关于教育提供的初步问题,辅之以后续问题,以探讨任何教育的性质、交付和形式,以及未来的课程发展。

结果

回应率为 97%。大多数(72%)学校没有提供人口贩运教育。然而,其中 13%的学校在正规课程之外提供了机会。70%的学校没有计划实施任何教育机会。在提供教学的 28%的学校中,56%将其纳入核心课程。56%的学校仅在学位的一年内提供此课程。67%的学校以面对面的形式提供某种形式的教学,而 78%的学校则采用多种方法相结合。

结论

英国的人口贩运医学教育参差不齐,而且常常缺乏。为了培养有能力和有能力的未来临床医生,需要扩大人口贩运教育,并研究最佳课程设计。英国新的独立反奴隶制专员应与医学院合作,制定一项紧急教育战略,以实现英国政府的计划和承诺。在英国和世界各地,人口贩运教育为新一代医生提供了一个解决人权和保护问题的关键机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a57/5998533/9d99aa918326/12909_2018_1226_Fig1_HTML.jpg

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