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医学教育中的纵向服务学习:对斯特里奇医学院五年制替代课程的伦理分析

Longitudinal Service Learning in Medical Education: An Ethical Analysis of the Five-Year Alternative Curriculum at Stritch School of Medicine.

作者信息

Borah Brian F

机构信息

Internal Medicine Resident, University of Illinois at Chicago, 1108 N. Damen Ave. Apt #2F, Chicago, IL, 60622, USA.

出版信息

J Med Humanit. 2018 Dec;39(4):407-416. doi: 10.1007/s10912-018-9529-x.

DOI:10.1007/s10912-018-9529-x
PMID:30079441
Abstract

In this article, the author explores a model of alternative medical education being pioneered at Loyola University Chicago Stritch School of Medicine. The five-year Global Health Fieldwork Fellowship (GHFF) track allows two students per year to complete an extra year of medical education while living and working in a free rural clinic in the jungle lowlands of Bolivia. This alternative curricular track is unique among other existing models in that it is (a) longitudinally immersive for at least one full additional year of medical education, (b) grounded in clinical and service learning, and (c) heavily focused upon global health and the social components of medicine. Studies have shown that both longitudinal alternative medical curricular tracks and short-term global health electives have long-term benefits upon the professional development of participants, suggesting that the GHFF is likely to do the same. The author also argues that the GHFF is an advantageous model of global health education compared to standard offerings and provides a unique curricular model by which to foster the development of social values-such as professionalism, advocacy, and social justice-that are widely considered lacking in today's medical education.

摘要

在本文中,作者探讨了芝加哥洛约拉大学斯特里奇医学院开创的一种替代医学教育模式。为期五年的全球健康实地考察奖学金(GHFF)项目每年允许两名学生在玻利维亚丛林低地的一家免费乡村诊所生活和工作的同时,额外完成一年的医学教育。这种替代课程模式在其他现有模式中独树一帜,因为它(a)在医学教育中至少有整整额外一年的纵向沉浸式体验,(b)以临床和服务学习为基础,(c)高度专注于全球健康和医学的社会组成部分。研究表明,纵向替代医学课程模式和短期全球健康选修课程对参与者的职业发展都有长期益处,这表明全球健康实地考察奖学金项目可能也会如此。作者还认为,与标准课程相比,全球健康实地考察奖学金项目是一种有利的全球健康教育模式,并提供了一种独特的课程模式,以此促进社会价值观的发展,如专业精神、倡导和社会正义,而这些价值观在当今医学教育中普遍被认为是缺失的。

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本文引用的文献

1
Curricular integration of social medicine: a prospective for medical educators.社会医学的课程整合:医学教育工作者的一个展望
Med Educ Online. 2016 Jan 14;21:30586. doi: 10.3402/meo.v21.30586. eCollection 2016.
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A 5-year experience with an elective scholarly concentrations program.一项关于选修学术集中课程的5年经验。
Med Educ Online. 2015 Nov 9;20:29278. doi: 10.3402/meo.v20.29278. eCollection 2015.
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Educating for the 21st-Century Health Care System: An Interdependent Framework of Basic, Clinical, and Systems Sciences.
医学生临床前服务学习体验及其对临床培训中同理心的影响。
BMC Med Educ. 2021 May 26;21(1):301. doi: 10.1186/s12909-021-02739-z.
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Teaching Advocacy Through Community-Based Service Learning: A Scoping Review.通过基于社区的服务学习进行倡导教学:一项范围综述
Acad Psychiatry. 2022 Apr;46(2):238-247. doi: 10.1007/s40596-021-01411-4. Epub 2021 Mar 18.
培养面向 21 世纪的医疗体系:基础、临床与系统科学相互依存的框架。
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A global health elective for US medical students: the 35 year experience of the State University of New York, Downstate Medical Center, School of Public Health.面向美国医学生的全球健康选修课:纽约州立大学下州医学中心公共卫生学院的35年经验
J Community Health. 2015 Apr;40(2):187-98. doi: 10.1007/s10900-014-9981-0.
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Transforming educational accountability in medical ethics and humanities education toward professionalism.将医学伦理与人文教育中的教育问责制转变为职业精神。
Acad Med. 2015 Jun;90(6):738-43. doi: 10.1097/ACM.0000000000000616.
6
The necessity of social medicine in medical education.社会医学在医学教育中的必要性。
Acad Med. 2015 May;90(5):565-8. doi: 10.1097/ACM.0000000000000571.
7
Think global, act local: medical students contextualize global health education.立足全球思考,着眼本地行动:医学生将全球健康教育情境化。
Educ Health (Abingdon). 2014 Jan-Apr;27(1):55-8. doi: 10.4103/1357-6283.134315.
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Enacting the Carnegie Foundation call for reform of medical school and residency.响应卡内基基金会对医学院及住院医师培训改革的呼吁。
Teach Learn Med. 2013;25 Suppl 1:S1-8. doi: 10.1080/10401334.2013.842915.
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Bring global health and global medicine home.将全球健康与全球医学引入国内。
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