National and Kapodistrian University of Athens, School of Health Sciences, Athens, Greece.
Institute for Autoimmune Systemic and Neurological Diseases, Athens, Greece.
Med Teach. 2021 Mar;43(3):287-292. doi: 10.1080/0142159X.2020.1832651. Epub 2020 Dec 7.
For the past years, and even more now with the major challenge of the COVID-19 pandemic, we are faced with the inadequacies that undermine the healthcare system in Greece. As healthcare system performance and medical education are directly and reciprocally linked, a substantial part of healthcare services' dysfunctions could be partially attributed to the training of the young doctors. Thus, in order to improve the performance of the healthcare system in the best interest of patients and communities, the education of healthcare personnel should be a priority. By reviewing the existing literature in combination with our experience we attempt to delineate the weak points of the undergraduate and postgraduate medical education in Greece. Additionally, based on medical curricula from other countries, we suggest reforms in order to achieve a uniform, clinically oriented, emphasis on training in public health issues in undergraduate medical education. Reforms are also suggested for postgraduate training with regard not only to specialization curricula, but also to the accredited institutions which provide specialty training. Finally, the necessity for Continuing Medical Education (CME) is underlined; medical education must have a continuum that begins with undergraduate training but does not end there; it is life-long learning.
在过去的几年里,尤其是现在面临着 COVID-19 大流行的巨大挑战,我们意识到希腊医疗体系存在的不足之处。由于医疗体系的表现和医学教育是直接且相互关联的,因此医疗服务的大部分功能障碍可以部分归因于年轻医生的培训。因此,为了提高医疗体系的绩效,从患者和社区的利益出发,医疗人员的教育应该是重中之重。通过回顾现有文献并结合我们的经验,我们试图描绘希腊本科和研究生医学教育的薄弱环节。此外,我们还根据其他国家的医学课程,建议进行改革,以便在本科医学教育中实现统一的、以临床为导向的、注重公共卫生问题培训的目标。还建议对研究生培训进行改革,不仅要针对专业课程,还要针对提供专业培训的认可机构。最后,强调继续医学教育(CME)的必要性;医学教育必须是一个连续的过程,从本科培训开始,但不能就此结束;这是终身学习。