Swineford O
South Med J. 1977 Feb;70(2):191-4.
Significant advances in medicine have occurred in the past 50 years. Medical education, too, has undergone many changes, and is due for an in-depth study and appraisal similar to that of the 1910 Flexner report. Some of the changes in medical education discussed include excessive emphasis on incurable diseases and scientific minutiae instead of practical clinical problems, changes in the roles and images of clinical teachers, importance placed on faculty research, decline in actual patient care, and a new and welcome proliferation of training programs for family physicians. Suggestions are offered for reducing the duration of medical training, and for improving the curriculum and the education of students in medical schools today.
在过去50年里医学取得了重大进展。医学教育也经历了许多变革，并且需要进行类似于1910年《弗莱克斯纳报告》那样的深入研究和评估。所讨论的医学教育变革包括过度强调不治之症和科学细节而非实际临床问题、临床教师角色和形象的变化、对教师研究的重视、实际患者护理的减少，以及家庭医生培训项目新的且令人欣喜的增加。文中还提出了缩短医学培训时长以及改进当今医学院课程和学生教育的建议。
