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未来医学院:从信息到变革。

Medical College of the Future: from Informative to Transformative.

机构信息

a Gulf Medical University , Ajman , United Arab Emirates.

出版信息

Med Teach. 2018 Oct;40(10):986-989. doi: 10.1080/0142159X.2018.1498628. Epub 2018 Oct 9.

DOI:10.1080/0142159X.2018.1498628
PMID:30299185
Abstract

The complexity of medical education and healthcare systems is a 'wicked problem'. Change will be a continuous iteration between evaluation and revaluation. Medicine is a social science. It is about people, societies and human interaction and communication. Medical College of the future should be developed in the light of social constructivism theories. Students from year one, day one, should be embedded in the work environment. Academic Healthcare Systems will be the norm not the exceptional. The training of students will be in all healthcare related facilities in the community. Public-private partnership in education and research will spread and become more regulated and encouraged. The students who want to be the future physicians should be selected differently. The curriculum will be more context related. Entrustable professional activities will be measured more frequently at different points of the students learning trajectory. Research and innovation will be integral to the students' learning experience. They should be exposed to how researchers think and behave and be embedded in a research environment. The medical college of the future will be using advanced technology which will be disruptive and transform existing educational models. E-Learning materials will be shared by consortia of collaborating medical colleges from all around the world. Artificial intelligence and machine learning will influence how students learn. National and international accreditation systems should ensure quality, but not stifle innovation. Physical learning spaces should reflect and express the underlying assumptions about "what is learning and teaching?". This should be reflected and expressed through the design of its buildings, infrastructure, technology, furniture and out of class learning environment. Predicting the future is difficult in a rapidly changing world. Next generation physicians should be competent in treating the next generation of patients while maintaining the health of the population.

摘要

医学教育和医疗体系的复杂性是一个“棘手问题”。变革将是评估和再评估之间的持续迭代。医学是一门社会科学。它关乎人、社会以及人际互动和交流。未来的医学院校应根据社会建构主义理论来发展。从一年级、第一天起,学生就应该置身于工作环境中。学术型医疗体系将成为常态而非例外。学生的培训将在社区内所有与医疗相关的设施中进行。教育和研究的公私合作伙伴关系将扩大,并变得更加规范和受到鼓励。未来的医生应该通过不同的方式进行选拔。课程将更加与背景相关。可信赖的专业活动将在学生学习轨迹的不同点上更频繁地进行测量。研究和创新将成为学生学习体验的组成部分。他们应该接触到研究人员的思维和行为方式,并融入研究环境中。未来的医学院将使用先进技术,这些技术将具有颠覆性,并改变现有的教育模式。电子学习材料将由来自世界各地的合作医学院校联盟共享。人工智能和机器学习将影响学生的学习方式。国家和国际认证系统应确保质量,但不应扼杀创新。实体学习空间应反映和表达对“什么是学习和教学?”的基本假设。这应该通过建筑物、基础设施、技术、家具和课外学习环境的设计来体现和表达。在瞬息万变的世界中,预测未来是困难的。下一代医生应该有能力治疗下一代患者,同时维护人口健康。

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