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家庭收养计划:一项由国家医学委员会授权的倡议。

Family Adoption Program: An NMC-mandated Initiative.

作者信息

Shah Hemangini Kishore, Virk Amrit Kaur, Dongre Amol, Datta Shib Shekhar, Gupta Subodh S

机构信息

Department of Community Medicine, Goa Medical College, Bambolim, Goa, India.

Department of Community Medicine, Dr BR Ambedkar State Institute of Medical Sciences (AIMS) Medical College, Mohali, Punjab, India.

出版信息

Indian J Community Med. 2024 Dec;49(Suppl 2):S170-S176. doi: 10.4103/ijcm.ijcm_750_24. Epub 2024 Dec 30.

DOI:10.4103/ijcm.ijcm_750_24
PMID:40124856
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11927821/
Abstract

The National Medical Commission (NMC) of India has introduced the Family Adoption Program (FAP) as a key initiative within the Competency-Based Medical Education (CBME) framework. FAP is designed to reshape medical education by deeply embedding students within communities, providing a platform for experiential learning that enhances their understanding of healthcare challenges beyond the clinical setting. Under the program, medical students adopt families in rural or underserved areas and work with them over an extended period, addressing health needs and fostering a holistic, socially responsive approach to care. This engagement allows students to understand the multifaceted determinants of health-such as social, economic, cultural, and environmental factors-that influence well-being and disease. Through direct interaction with families, students develop a community-centred approach to healthcare delivery, fostering continuity of care and empowering communities in managing their own health. This paper explores how FAP integrates community engagement into medical education, driving both student learning and community health outcomes. It outlines the theoretical underpinnings and practical implementation strategies of FAP, offering a roadmap for medical colleges to successfully integrate this initiative into their curricula. The paper highlights best practices and innovative approaches from institutions, emphasizing the need for institutional ownership, interdisciplinary collaboration, and partnerships with local communities to ensure long-term success. Additionally, it provides insights for scaling FAP nationally, positioning it as a transformative step towards cultivating compassionate, community-oriented healthcare professionals. By fostering deeper connections between medical students and communities, FAP has the potential to improve health equity and transform health care across India.

摘要

印度国家医学委员会(NMC)已推出家庭收养计划(FAP),将其作为基于能力的医学教育(CBME)框架内的一项关键举措。FAP旨在通过将学生深度融入社区来重塑医学教育,提供一个体验式学习平台,增强他们对临床环境之外的医疗保健挑战的理解。根据该计划,医学生收养农村或服务不足地区的家庭,并与他们长期合作,满足健康需求,培养全面、对社会负责的护理方法。这种参与使学生能够理解影响健康和疾病的健康多方面决定因素,如社会、经济、文化和环境因素。通过与家庭的直接互动,学生培养以社区为中心的医疗服务提供方法,促进护理的连续性,并增强社区管理自身健康的能力。本文探讨了FAP如何将社区参与融入医学教育,推动学生学习和社区健康成果。它概述了FAP的理论基础和实际实施策略,为医学院校成功将这一举措纳入其课程提供了路线图。本文强调了各机构的最佳实践和创新方法,强调机构所有权、跨学科合作以及与当地社区建立伙伴关系以确保长期成功的必要性。此外,它还为在全国范围内推广FAP提供了见解,将其定位为培养富有同情心、以社区为导向的医疗专业人员的变革性一步。通过促进医学生与社区之间更深入的联系,FAP有潜力改善印度的健康公平状况并变革医疗保健。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/735d/11927821/be64811a219a/IJCM-49-170-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/735d/11927821/8ef103176d1f/IJCM-49-170-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/735d/11927821/be64811a219a/IJCM-49-170-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/735d/11927821/8ef103176d1f/IJCM-49-170-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/735d/11927821/be64811a219a/IJCM-49-170-g002.jpg

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本文引用的文献

1
Family Adoption Programme for Medical Undergraduates in India - The Way Ahead: A Qualitative Exploration of Stakeholders' Perceptions.印度医学本科生家庭收养计划——未来之路:利益相关者认知的定性探索
Indian J Community Med. 2023 Jan-Feb;48(1):142-146. doi: 10.4103/ijcm.ijcm_831_22. Epub 2023 Feb 1.
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Critical Theory, Culture Change, and Achieving Health Equity in Health Care Settings.批判理论、文化变迁与医疗环境中健康公平的实现
Acad Med. 2022 Jul 1;97(7):977-988. doi: 10.1097/ACM.0000000000004680. Epub 2022 Jun 23.
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Hum Resour Health. 2019 Oct 28;17(1):76. doi: 10.1186/s12960-019-0413-1.
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