Cortes M T, Kaufman A, Sanchez G B, Bennett M D, Ortiz-Huerta D, Martinez-Burrola N, Saldate Alonso C, Lievana Durazo A
Med Educ. 1985 May;19(3):199-207. doi: 10.1111/j.1365-2923.1985.tb01309.x.
Most major innovations in medical education have occurred in a small number of new schools. Attempts to create change in traditional schools are far more complex. Relevant models for such change are few and there is an urgent need for institutions pioneering such changes to learn from each other's experiences. Two conventional medical schools described in this paper have attempted to create community-oriented institutional change by establishing experimental undergraduate curricular tracks. One is in a developing country, Mexico, the other in a technically developed country, the United States. These new tracks in medical education evolved independently of one another, yet they have many similarities and have experienced common problems. A formal exchange between the two schools has led to new insights in medical education and improvements to both programmes. Exchange agreements like the one reported here would be valuable for other medical schools in both developing and technically developed countries.
医学教育领域的大多数重大创新都发生在少数几所新建院校。试图在传统院校推动变革要复杂得多。适用于此类变革的相关模式很少，迫切需要率先进行此类变革的院校相互学习彼此的经验。本文介绍的两所传统医学院校试图通过设立实验性本科课程方向来推动面向社区的院校变革。一所位于发展中国家墨西哥，另一所位于技术发达国家美国。医学教育中的这些新方向是彼此独立发展起来的，但它们有许多相似之处，也遇到了一些共同问题。两所院校之间的正式交流为医学教育带来了新见解，也改进了两个项目。像本文所报道的这种交流协议对发展中国家和技术发达国家的其他医学院校都将很有价值。
