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赋予未来医生倡导健康公平的权力:本科医学教育中纵向主线的蓝图。

Empowering future physicians to advocate for health equity: A blueprint for a longitudinal thread in undergraduate medical education.

机构信息

Department of Medicine, Division of Infectious Diseases, Rutgers New Jersey Medical School, Newark, NJ, USA.

Department of Medicine, Division of General Internal Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.

出版信息

Med Teach. 2020 Jul;42(7):806-812. doi: 10.1080/0142159X.2020.1737322. Epub 2020 Mar 17.

Abstract

In light of a growing body of evidence demonstrating pervasive health disparities, medical schools are increasingly incorporating educational programs on social medicine in undergraduate and graduate medical curricula. In 2015, we significantly restructured the cultural competency instruction for medical students at our institution, focusing on achieving greater health equity through caring for vulnerable populations and acknowledging and addressing bias and stereotyping. In order to facilitate educational sustainability while students were immersed in clinical care, a key element of our approach included extending teaching into the clerkship year. The resulting longitudinal thread, Health Equity and Social Justice, empowers future physicians with the knowledge and skills to work towards greater health equity. This article discusses the lessons learned in the implementation of this novel educational program. Our approach can serve as a model for other institutions considering similar instructional reform.

摘要

鉴于越来越多的证据表明存在普遍的健康差距,医学院越来越多地在本科和研究生医学课程中纳入社会医学教育项目。2015 年,我们对我院医学生的文化能力教学进行了重大调整,重点通过关爱弱势群体、承认和解决偏见和刻板印象来实现更大的健康公平。为了在学生沉浸在临床护理的同时促进教育的可持续性,我们方法的一个关键要素包括将教学延伸到实习年。由此产生的纵向主线,即健康公平和社会正义,赋予未来医生更多的知识和技能,以努力实现更大的健康公平。本文讨论了在实施这一新的教育计划中所吸取的经验教训。我们的方法可以为其他考虑类似教学改革的机构提供借鉴。

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