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教师观点:医学、兽医学和公共卫生课程中开展“同一健康-同一医学”的感知需求、机遇和挑战的定性研究

Faculty Perceptions: A Qualitative Study of the Perceived Need, Opportunities, and Challenges of Developing "One Health-One Medicine" in the Medical, Veterinary, and Public Health Curricula.

机构信息

Dr. Roopnarine: Professor, School of Veterinary Medicine, Adjunct Professor Department of Public Health and Preventive Medicine, School of Medicine, St. George's University, Grenada, WI; and Dr. Regan: Research Supervisor, The Centre for Higher Education Studies, University of Liverpool, Liverpool, United Kingdom.

出版信息

J Contin Educ Health Prof. 2021 Jan 1;41(1):16-23. doi: 10.1097/CEH.0000000000000332.

Abstract

INTRODUCTION

The conceptual framework of One Health (OH) provides a strategy for promoting collaboration across the nexus of animal, human, and environmental health, which is essential for tackling emerging disease threats, such as COVID-19. However, there is no accreditation requirement for OH to prepare students across the professions for collaborative practice. This study aimed to explore the perspectives of faculty across the medical, veterinary, and public health programs about the need, opportunities, and challenges of developing OH in the curricula.

METHODS

In this qualitative study, faculty across the three disciplines were invited to participate in audio-recorded, focus group interviews. Recordings were transcribed verbatim and analyzed using inductive and deductive thematic analysis.

RESULTS

All participants recognized the need for OH as a critical concept for preparing students for collaborative practice. Opportunities were identified for shared learning and research across the disciplines, particularly through the use of interprofessional education. The lack of an accreditation mandate for OH in the medical curriculum was perceived to be the greatest challenge, leading to an anticipation of significant resistance among medical educators and students.

DISCUSSION

Successful development of OH in all three curricula is vital to prepare students for current and future threats to global health. The role of accreditation bodies in ensuring medical, veterinary, and public health curricula prepare students for these threats is crucial. Implications for practice include strategies for persuading medical educators and medical students to embrace OH in the curriculum and promote a culture of shared learning.

摘要

简介

One Health(OH)的概念框架为促进动物、人类和环境健康的协同提供了一种策略,这对于应对 COVID-19 等新兴疾病威胁至关重要。然而,OH 并没有为准备跨专业合作实践的学生提供认证要求。本研究旨在探讨医学、兽医和公共卫生专业的教师对在课程中发展 OH 的必要性、机会和挑战的看法。

方法

在这项定性研究中,邀请了三个学科的教师参加录音焦点小组访谈。录制内容逐字转录,并使用归纳和演绎主题分析进行分析。

结果

所有参与者都认识到 OH 作为为学生进行协作实践做准备的关键概念的必要性。发现了跨学科学习和研究的机会,特别是通过使用跨专业教育。医学课程中缺乏 OH 的认证要求被认为是最大的挑战,这导致医学教育者和学生预计会产生强烈的抵制。

讨论

成功地在所有三个课程中发展 OH 对于为学生应对当前和未来的全球健康威胁做好准备至关重要。认证机构在确保医学、兽医和公共卫生课程为这些威胁做好学生准备方面的作用至关重要。对实践的影响包括说服医学教育者和医学生在课程中接受 OH 并促进共享学习文化的策略。

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