Pabst R
Division of Functional and Applied Anatomy, Medical School of Hannover, Germany.
Acad Med. 1995 Nov;70(11):1006-11. doi: 10.1097/00001888-199511000-00019.
The health care systems of highly industrialized countries are being restructured in the face of aging populations, economic dislocations, and limited resources. They also face reforms to medical education. Despite significant differences in their systems, countries can learn from examining the advantages and disadvantages of others' approaches to educating medical students. Germany has begun to implement various reforms of medical education and medical practice, and the unification of East and West Germany has reinforced these reform efforts. The author presents background data and information on the number of practicing physicians in Germany and their practice settings; the number of medical students; admission policies and the curricula of German medical schools; and the nature of post-medical school training. He then describes some proposed reforms to the medical curriculum, and the experience of the Medical School of Hannover in implementing and evaluating some of these changes.
面对人口老龄化、经济混乱和资源有限的情况，高度工业化国家的医疗保健系统正在进行重组。它们还面临医学教育改革。尽管各国的医疗保健系统存在显著差异，但通过审视其他国家培养医学生方法的优缺点，各国能够相互学习。德国已开始实施医学教育和医疗实践的各项改革，东西德统一强化了这些改革努力。作者介绍了德国执业医师数量及其执业环境、医学生数量、德国医学院校的招生政策和课程设置以及毕业后培训性质的背景数据和信息。然后，作者描述了一些针对医学课程的拟议改革，以及汉诺威医学院在实施和评估其中一些变革方面的经验。
