Frenk J
Educ Med Salud. 1984;18(4):329-43.
This article endeavors to establish a connection between the emergence and development of internship in Mexico and a series of macrosocial changes, including the extension of Government intervention in medical care, the labor market processes that have led to unemployment among physicians, and the responses of the medical education system. The author considers that this comprehensive analysis will be of use in understanding at least in part the complex dynamics of the influence exerted on each other by medical care and medical education, and particularly how changes in conditions on the labor market for physicians have led to the formulation of ideological paradigms of medical practice and to their institutionalization in the programs of study of the medical schools. The study is also important for developed and developing countries with increasing numbers of physicians and which therefore need to understand the possible causes and effects of this trend.
本文致力于在墨西哥实习制度的出现与发展和一系列宏观社会变革之间建立联系,这些变革包括政府对医疗保健干预的扩大、导致医生失业的劳动力市场进程以及医学教育系统的应对措施。作者认为,这种全面分析至少在一定程度上有助于理解医疗保健与医学教育相互影响的复杂动态,特别是医生劳动力市场状况的变化如何导致医疗实践意识形态范式的形成及其在医学院课程中的制度化。对于医生数量不断增加、因而需要了解这一趋势可能的因果关系的发达国家和发展中国家来说,这项研究也很重要。