Smith J J, Koethe S M, Forster H V
Department of Physiology, Medical College of Wisconsin, Milwaukee 53226, USA.
Am J Physiol. 1997 Jun;272(6 Pt 3):S36-46. doi: 10.1152/advances.1997.272.6.S36.
There has been increasing criticism of medical basic science teaching; much of this has focused on overcrowding of the curriculum, inadequate application to clinical medicine, and the limited commitment of the faculty to teach. We have analyzed some of the factors that may contribute to these complaints, such as the fragmentation of physiology and the conflicting roles of the medical basic scientist. We have also reviewed some previous suggestions for improving basic science teaching. We suggest that a basic scientist with a background of integrative physiology, pharmacology, anatomy, and pathology, with a special emphasis on pathophysiology, would be well qualified to assume an important role in the medical education of the future. Because there is at present no established training program of this type, we have proposed a PhD training track with this objective and have listed some of the advantages and disadvantages of such a program.
对医学基础科学教学的批评日益增多；其中大部分集中在课程过于拥挤、对临床医学的应用不足以及教师教学投入有限。我们分析了一些可能导致这些抱怨的因素，比如生理学的碎片化以及医学基础科学家角色的冲突。我们还回顾了一些此前关于改进基础科学教学的建议。我们认为，一位具备综合生理学、药理学、解剖学和病理学背景，尤其侧重于病理生理学的基础科学家，将非常有资格在未来的医学教育中发挥重要作用。由于目前尚无此类既定的培训项目，我们提出了一个以此为目标的博士培训路径，并列出了该项目的一些优缺点。
