Evans C H
Harvard Medical School, Boston, MA 02115.
Acad Med. 1995 Jan;70(1):14-20. doi: 10.1097/00001888-199501000-00007.
Faculty development--thought of not merely as improving teaching skills, but more broadly as nurturing the growth of trainees into accomplished faculty--is critical to the existence of academic medical centers. Profound changes in academic medicine and health care delivery are making the traditional model of faculty development obsolete. That model is now inadequate and untenable in the face of shrinking government support, changes in the sophistication, costs, and funding of biomedical research, changes in the reimbursement systems for hospitals and physicians, a general loss of respect for the medical and scientific professions, and radical changes in the structure of the health care delivery system. The changes have implications for the type of faculty development needed for this new environment, and a new model is outlined.
教师发展——不仅仅被视为提高教学技能，更广泛地被视为培养受训人员成长为有成就的教师——对学术医疗中心的生存至关重要。学术医学和医疗服务的深刻变革正在使传统的教师发展模式过时。面对政府支持的缩减、生物医学研究的复杂性、成本和资金的变化、医院和医生报销系统的变化、对医学和科学专业普遍缺乏尊重以及医疗服务提供系统结构的根本变化，这种模式现在已不充分且难以维持。这些变化对新环境所需的教师发展类型产生了影响，并概述了一种新模式。
