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在印度本科精神病学培训中实施以能力为基础的医学教育课程:机遇与挑战。

Implementing competency-based medical education curriculum in undergraduate psychiatric training in India: Opportunities and challenges.

机构信息

Specialist Learning Disability Service, Hertfordshire Partnership University NHS Foundation Trust, Stevenage, England, United Kingdom.

Department of Psychiatry, Malankara Orthodox Syrian Church Medical College, Kolenchery, Kerala, India.

出版信息

Asia Pac Psychiatry. 2021 Dec;13(4):e12491. doi: 10.1111/appy.12491. Epub 2021 Dec 7.

Abstract

Medical education in India is undergoing a landmark transformation under the National Medical Commission implementing competency-based medical education (CBME). The CBME approach intends to ensure that medical graduates acquire the competencies needed to fulfill the health needs of the patient and society. This outcome-based approach shifts the focus from the traditional knowledge-based training to skill-based training valued on attitude, ethics, and communication (AETCOM) competencies. CBME thus aims to create medical professionals capable of providing holistic care with compassion and excellence embracing the global trends. The opportunity posed by the CBME should be utilized to sensitize and create interest among the learners about the science and scope of psychiatry. However, there are many challenges in the successful implementation of CBME, which have to be identified and addressed on time for serving the purpose. A basic tenet in CBME is to continue training until the desired competencies are achieved; in other words, to de-emphasize time-based learning. Moreover, the current COVID 19 pandemic is posing a significant influence on the execution of CBME implemented in August 2019. Online platforms could have several advantages in assisting the implementation of CBME; they provide an alternative to continue teaching-learning and assessment during these times and allow learners with the flexibility to learn at their own pace. In this article, we discuss the opportunities, including digital platforms and challenges to be overcame as well as the need for training the faculty toward assimilating the curriculum in the undergraduate psychiatric training.

摘要

印度的医学教育正在国家医学委员会实施以能力为基础的医学教育(CBME)的引领下发生重大转变。CBME 方法旨在确保医学毕业生获得满足患者和社会健康需求所需的能力。这种基于结果的方法将重点从传统的基于知识的培训转移到基于技能的培训,注重态度、伦理和沟通(AETCOM)能力。因此,CBME 的目标是培养能够以同情心和卓越的方式提供整体护理的医疗专业人员,拥抱全球趋势。应该利用 CBME 带来的机会,使学习者对精神病学的科学和范围更加敏感,并产生兴趣。然而,在成功实施 CBME 方面存在许多挑战,必须及时发现和解决这些挑战,以达到目的。CBME 的一个基本原则是继续培训,直到达到所需的能力;换句话说,要减少基于时间的学习。此外,当前的 COVID-19 大流行对 2019 年 8 月实施的 CBME 执行产生了重大影响。在线平台在协助实施 CBME 方面可能具有许多优势;它们提供了一种替代方案,可以在这些时候继续教学和评估,并允许学习者灵活地按照自己的节奏学习。在本文中,我们讨论了机会,包括数字平台和需要克服的挑战,以及培训教师以适应本科精神病学培训课程的必要性。

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