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喀麦隆雅温得大学健康科学中心的医学教学:与《医学教育爱丁堡宣言》的一致性。

The teaching of medicine at the University Centre for Health Sciences Yaounde, Cameroon: its concordance with the Edinburgh Declaration on medical education.

作者信息

Monekosso G L

机构信息

WHO Regional Office for Africa, Brazzaville, the Congo.

出版信息

Med Educ. 1993 Jul;27(4):304-20. doi: 10.1111/j.1365-2923.1993.tb00275.x.

DOI:10.1111/j.1365-2923.1993.tb00275.x
PMID:8412871
Abstract

The University Centre for Health Sciences (UCHS) or as it is referred to in French 'Centre Universitaire des Sciences de la Santé' (CUSS), became functional in 1969 with the enrollment of the first group of students. The objective of this training programme was to produce a scientifically sound, multipurpose doctor who would be fully operational in a rural setting with minimal equipment and supplies (Monekosso 1970, 1972). The graduate had to be able to adapt readily to new situations and improvise whenever possible, calling for a high degree of competence and initiative. The training strategies adopted by UCHS in 1969 which met this requirement were later found to be in close concordance with the tenets of the World Conference on Medical Education held in Edinburgh in 1988, the Edinburgh Declaration. While some of the terminology may not have been worked out at the time, the programme developed embraced some new concepts hitherto untried or undeveloped: the problem-solving approach in the first to the sixth year; an integrated teaching approach during the first to sixth year of medical training; an integrated medicine internship in district hospitals in the sixth year; a community-based training approach throughout the training; team training of three different health professionals; competency-based training; health services linked research; health services linked training (Monekosso & Quenum 1978). The concordance of this programme to the Edinburgh Declaration is of great interest in realizing the World Federation for Medical Education programme and implementing the Edinburgh Declaration. The involvement of the three innovative medical schools in the planning stage of the curriculum explains this concordance.

摘要

大学健康科学中心(UCHS),在法语中称为“大学健康科学中心”(CUSS),于1969年随着第一批学生的入学开始运作。该培训项目的目标是培养一名具备科学素养、多功能的医生,使其能够在设备和物资最少的农村环境中充分发挥作用(莫内科索,1970年,1972年)。毕业生必须能够随时迅速适应新情况并随机应变,这需要高度的能力和主动性。UCHS在1969年采用的满足这一要求的培训策略,后来被发现与1988年在爱丁堡举行的世界医学教育大会的宗旨《爱丁堡宣言》高度一致。虽然当时一些术语可能尚未确定,但所制定的项目包含了一些此前未经尝试或未发展的新概念:第一年至第六年的问题解决方法;医学培训第一年至第六年的综合教学方法;第六年在地区医院进行的综合医学实习;整个培训过程中的社区培训方法;对三种不同卫生专业人员的团队培训;基于能力的培训;与卫生服务相关的研究;与卫生服务相关的培训(莫内科索和凯农,1978年)。该项目与《爱丁堡宣言》的一致性对于实现世界医学教育联合会的项目和实施《爱丁堡宣言》具有重要意义。这三所创新医学院在课程规划阶段的参与解释了这种一致性。

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