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在英国将寻求庇护者和难民的健康纳入本科医学课程的框架。

Framework for implementing asylum seekers and refugees' health into the undergraduate medical curriculum in the United Kingdom.

机构信息

GKT Medical School, King's College London, London SE1 1UL, UK.

Centre for education, Faculty of Life Science & Medicine, King's College London, London SE1 1UL, UK.

出版信息

Health Educ Res. 2024 Mar 20;39(2):170-181. doi: 10.1093/her/cyae002.

DOI:10.1093/her/cyae002
PMID:38295307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10952400/
Abstract

The Ukrainian conflict and the increasing number of asylum seekers and refugees (AS&Rs) in the United Kingdom have highlighted the critical need for a dedicated AS&R health curriculum in medical undergraduate programmes. This study utilized a mixed-method approach to assess the current state of AS&R curricula worldwide, identify shortcomings in the UK's medical undergraduate curriculum and determine the specific needs of AS&R. A scoping review of literature revealed an absence of comprehensive AS&R health curricula, with many programmes focusing on broader global health issues. Mapping the General Medical Council's (GMC) Outcomes for Graduates to a UK medical school's learning outcomes uncovered misalignments with AS&R health requirements and an online survey of AS&R charities exposed barriers related to accessibility and knowledge. The study's findings emphasize the importance of introducing or reinforcing specific themes in the medical curriculum, such as clarifying terminology and promoting awareness of AS&R organizations. Employing various teaching methods and continuous assessment are vital to evaluate curriculum effectiveness. The development of an AS&R health curriculum is essential to equip future doctors with the necessary skills and knowledge to provide equitable healthcare to this vulnerable population. The study's findings can serve as a basis for curriculum development and implementation in UK medical schools.

摘要

乌克兰冲突以及英国寻求庇护者和难民(AS&Rs)人数的增加,凸显了在医学本科课程中专门开设 AS&Rs 健康课程的迫切需求。本研究采用混合方法评估了全球范围内 AS&Rs 课程的现状,确定了英国医学本科课程的不足之处,并确定了 AS&Rs 的具体需求。文献范围综述显示,缺乏全面的 AS&Rs 健康课程,许多课程侧重于更广泛的全球健康问题。将普通医学委员会(GMC)的毕业生成果与英国医学院的学习成果进行映射,发现与 AS&Rs 健康要求存在错位,并且对 AS&Rs 慈善机构的在线调查揭示了与可及性和知识相关的障碍。该研究的结果强调了在医学课程中引入或强化特定主题的重要性,例如澄清术语和提高对 AS&Rs 组织的认识。采用各种教学方法和持续评估对于评估课程效果至关重要。制定 AS&Rs 健康课程对于使未来的医生具备为这一弱势群体提供公平医疗保健的必要技能和知识至关重要。该研究的结果可以作为英国医学院课程开发和实施的基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cc/10952400/cf9935f6bc15/cyae002f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cc/10952400/f6d889a0b168/cyae002f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cc/10952400/15e7b994ce35/cyae002f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cc/10952400/cf9935f6bc15/cyae002f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cc/10952400/f6d889a0b168/cyae002f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cc/10952400/15e7b994ce35/cyae002f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cc/10952400/cf9935f6bc15/cyae002f3.jpg

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GMS J Med Educ. 2021 Feb 15;38(2):Doc39. doi: 10.3205/zma001435. eCollection 2021.
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The design and implementation of a longitudinal social medicine curriculum at the University of Vermont's Larner College of Medicine.
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