Pentecost Michelle, Gerber Berna, Wainwright Megan, Cousins Thomas
Department of Global Health and Social Medicine, King's College London, London, UK.
School of African and Gender Studies, Anthropology and Linguistics, University of Cape Town, Cape Town, South Africa.
Med Humanit. 2018 Dec;44(4):221-229. doi: 10.1136/medhum-2018-011472.
In this article, the authors make a case for the 'humanisation' and 'decolonisation' of health sciences curricula in South Africa, using as a guiding framework. refers to an education that is built on a consolidated conceptual framework that includes and equally values the natural or biomedical sciences as well as the humanities, arts and social sciences, respecting that all of this knowledge has value for the practice of healthcare. An integrated curriculum goes beyond add-on or elective courses in the humanities and social sciences. It is a curriculum that includes previously marginalised sources of knowledge ; addresses an appropriate intellectual self-image in health sciences education ; promotes understanding of history and social context, centring issues of inclusion, access and social justice and finally, focuses on care and relatedness as an essential aspect of clinical work The article offers a brief historical overview of challenges in health and health sciences education in South Africa since 1994, followed by a discussion of contemporary developments in critical health sciences pedagogies and the medical and health humanities in South Africa. It then draws on examples from South Africa to outline how these four critical orientations or competencies might be applied in practice, to educate health professionals that can meet the challenges of health and healthcare in contemporary South Africa.
在本文中,作者以 为指导框架,论证了南非健康科学课程“人性化”和“去殖民化”的必要性。 指的是一种基于综合概念框架的教育,该框架涵盖并同等重视自然科学或生物医学科学以及人文、艺术和社会科学,承认所有这些知识对医疗实践都具有价值。综合课程超越了人文和社会科学方面的附加课程或选修课程。它是一种纳入了先前被边缘化的知识来源的课程;在健康科学教育中塑造恰当的知识自我形象;促进对历史和社会背景的理解,以包容、获取和社会正义等问题为核心;最后,将关怀和关联性作为临床工作的一个基本方面。本文简要回顾了1994年以来南非健康与健康科学教育面临的挑战,随后讨论了南非批判性健康科学教学法以及医学与健康人文学科的当代发展。然后,文章借鉴南非的实例,概述了这四个关键方向或能力在实践中如何应用,以培养能够应对当代南非健康与医疗挑战的健康专业人员。