Meryn S
Center for Advanced Medical Education and Health Communication, Medical Faculty, University of Vienna, Austria. siegfried.meryn@ univie.ac.at
Digestion. 1998 Aug;59(5):619-23. doi: 10.1159/000007519.
Recent changes in society, the practice in medicine, the health care delivery and new technologies will have a direct impact on the development of the medical profession. Thus, there is a need for more efficient, evidence-based and evaluated continuing medical education (CME) programs. But CME in one's own speciality interest is not enough. CME has to be extended into a broader context of continuing professional development (CPD) including personal, social and political aspects of medical practice. New methods have to concentrate on adult learning principles, individual needs and self-directed learning and have to promote performance-based assessment, outcome evaluation, communication skills, patient education and the use of computers and telecommunication technologies. All principles have to begin before entering medical school and then be continued and supported through a new medical curriculum from undergraduate to postgraduate training according to the 'lifelong learning' principle. All honorable gastroenterology, hepatology and endoscopy societies throughout the world should further define professionalism and develop leadership and management programs for their members. Nevertheless, every doctor always has a personal responsibility for lifelong learning.
社会的近期变化、医学实践、医疗保健服务以及新技术将对医学专业的发展产生直接影响。因此，需要更高效、基于证据且经过评估的继续医学教育（CME）项目。但仅局限于个人专业兴趣的继续医学教育是不够的。继续医学教育必须扩展到更广泛的继续职业发展（CPD）范畴，包括医疗实践的个人、社会和政治层面。新方法必须专注于成人学习原则、个人需求和自主学习，并且必须促进基于绩效的评估、结果评价、沟通技巧、患者教育以及计算机和电信技术的应用。所有这些原则在进入医学院之前就应开始，并根据“终身学习”原则，在从本科到研究生培训的新医学课程中持续贯彻并得到支持。全世界所有有声望的胃肠病学、肝病学和内镜学会都应进一步明确专业精神，并为其成员制定领导力和管理项目。然而，每位医生始终对终身学习负有个人责任。
