Dower C M, Gragnola C M, Finocchio L J
Center for the Health Professions, University of California, San Francisco (UCSF), USA.
West J Med. 1998 May;168(5):422-7.
Recent upheavals within health care delivery, technological advances, and changing attitudes among consumers have challenged and changed health professions licensure. At the same time, traditional regulatory frameworks remain in place. Beginning with a comparison of California's physician regulation with other states, we explore this tension between established regulatory systems and emerging reforms. Current trends in regulatory reform across the United States and in California include efforts to standardize practice requirements, expand scopes of practice for nonphysicians, and restructure boards. Because of these trends, medical educators will be expected to prepare physicians to practice under increased scrutiny and expectations of accountability; promote interdisciplinary education, training, and practice; and step up the efforts toward uniformity in medical education, training, and practice.
医疗服务提供体系近期的动荡、技术进步以及消费者态度的转变，对卫生专业人员的执照颁发提出了挑战并使其发生了改变。与此同时，传统的监管框架依然存在。我们从比较加利福尼亚州与其他州对医生的监管入手，探讨既定监管体系与新兴改革之间的这种紧张关系。美国和加利福尼亚州监管改革的当前趋势包括努力使执业要求标准化、扩大非医生的执业范围以及重组委员会。由于这些趋势，预计医学教育工作者要让医生在更严格的审查和更高的问责期望下开展执业活动；促进跨学科教育、培训和执业；并加大在医学教育、培训和执业方面实现统一的力度。
