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尊重与反思:初级保健中的国际教育伙伴关系。

Respect and reflexivity: international education partnerships in primary care.

机构信息

Professor of Medical Education, UCL Medical School, Faculty of Medical Sciences, University College London, London, UK.

Salaried GP, Lodge Surgery, St Albans, UK.

出版信息

Educ Prim Care. 2023 May;34(3):119-122. doi: 10.1080/14739879.2023.2178332. Epub 2023 Feb 27.

Abstract

The UK general practice model has been described as the 'jewel in the crown' of the National Health Service and is widely respected and emulated around the world. In recent years, there has been a particular interest in the UK approach to primary care medical education, including at undergraduate and postgraduate levels, leading to a number of international education partnerships designed to draw on the best of UK experience and expertise in this area. Drawing on the limited academic literature in this area, and the authors' personal experiences of working across many international partnership projects with countries around the world, this article reflects on the central importance of respect and reflexivity when engaging in such work. A respectful approach relies on a genuine and deep curiosity for the local context, and a desire to empower partners to build their own solutions that are contextually authentic. A reflexive approach, meanwhile, relies on those engaging in partnerships to understand themselves as 'invited guests' and to remain mindful of current and historical power differentials and inequities when framing their engagement, looking both inwardly and outwardly as they conduct themselves. As primary care education around the world develops and expands, there may be a greater role for international partnerships and it is critically important that those engaging in such partnerships bring a thoughtful and scholarly lens to this work.

摘要

英国的全科医学模式被誉为国民保健制度的“皇冠上的明珠”,在全世界广受尊重和效仿。近年来,人们对英国的初级保健医疗教育方法特别感兴趣,包括本科和研究生教育层次,由此产生了一些国际教育合作项目,旨在借鉴英国在该领域的最佳经验和专业知识。本文借鉴该领域有限的学术文献以及作者在与世界各地许多国际合作项目中工作的个人经验,反思了在开展此类工作时尊重和反思的核心重要性。尊重的方法依赖于对当地背景的真正和深入的好奇心,以及赋予合作伙伴权力以建立具有本土真实性的解决方案的愿望。而反思性方法则依赖于参与合作的人员将自己视为“受邀嘉宾”,并在构建合作关系时牢记当前和历史上的权力差异和不平等,在审视自身的同时也向外审视。随着全球初级保健教育的发展和扩大,国际合作可能会发挥更大的作用,而参与此类合作的人员以深思熟虑和学术的视角来开展这项工作至关重要。

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