Brieger G H
Department of the History of Science, Medicine, and Technology, Johns Hopkins, University School of Medicine, Baltimore, Maryland 21205, USA.
Acad Med. 1997 May;72(5):362-9. doi: 10.1097/00001888-199705000-00014.
Universities and medical education have been allied since the Middle Ages. In the United States, proprietary medical schools began to unite with universities at the turn of the century. At the end of the century, this traditional alliance is being questioned, even threatened, by marketplace demands, and medical schools and their universities continue to deal with internal struggles regarding teaching and research goals, and funding. In this paper, the author defines and discusses the origins of university-medical school tensions, provides a brief review of the history of university-based medical education in the United States, and describes some of the advantages and disadvantages of the alliance. Finally, he makes a case for why medical education must continue to be grounded in universities.
自中世纪以来，大学与医学教育就紧密相连。在美国，世纪之交时私立医学院开始与大学联合。到本世纪末，这种传统联盟正因市场需求而受到质疑，甚至受到威胁，医学院及其所在大学仍在应对有关教学、研究目标和资金方面的内部斗争。在本文中，作者界定并探讨了大学与医学院之间紧张关系的根源，简要回顾了美国以大学为基础的医学教育历史，并描述了这种联盟的一些优缺点。最后，作者阐述了医学教育为何必须继续以大学为基础的理由。
