Hennen B
CMAJ. 1997 Feb 1;156(3):365-7.
The author considers the University of Toronto's Health, illness and the Community course for undergraduate medical students, described in this issue by Wasylenki and associates (see pages 379 to 383). Social accountability in medical education demands a community orientation and hence an emphasis on outreach. Medical schools should expand their clinical service to the community, provide community-based residency placements and offer continuing medical education in rural and regional centres. Accountability also requires community involvement in planning and implementing research projects. Placing students in a community setting as part of the curriculum is praiseworthy, but it is not sufficient to ensure social accountability. What is needed now is a more comprehensive acceptance by faculties of medicine of the mandate of community-centred learning, together with well-targeted funding for education and research initiatives.
作者考量了多伦多大学为本科医学生开设的“健康、疾病与社区”课程，本期由瓦西伦基及其同事进行了描述（见第379至383页）。医学教育中的社会问责要求以社区为导向，因此要强调拓展服务。医学院校应扩大其社区临床服务，提供基于社区的住院医师培训安置，并在农村和地区中心提供继续医学教育。问责还要求社区参与研究项目的规划和实施。将学生置于社区环境作为课程的一部分是值得称赞的，但这不足以确保社会问责。现在需要的是医学院系更全面地接受以社区为中心的学习使命，以及为教育和研究计划提供有针对性的资金。
