Moving Toward a Third Generation of Medical Education

Wendy Green
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引用次数: 1

Abstract

The number of health professions education programs continues to increase across the United States and globally, but unequal access to healthcare remains a pressing issue. Health professions education has shifted from a first-generation approach, centered on didactic teaching, to a second-generation approach, centered on problem-based learning. In a Lancet paper, Frenk and colleagues argued for the incorporation of a transformative paradigm within health professions education facilitating the move towards the third generation of health professions education. Drawing on Mezirow and Freire, they argued for the incorporation of a transformative paradigm to improve health professions education by better aligning medical education and population needs. This chapter examines how a transformative approach to health professions education could be implemented and where it would be most effective. It also looks at how a transformative paradigm within health professions education could provide an additional lens to understand health disparities, structural inequity, and diversity.
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迈向第三代医学教育
在美国和全球范围内,卫生专业教育项目的数量不断增加,但获得医疗保健的机会不平等仍然是一个紧迫的问题。卫生专业教育已经从以说教式教学为中心的第一代方法转变为以基于问题的学习为中心的第二代方法。在《柳叶刀》的一篇论文中,弗兰克和他的同事们主张在卫生专业教育中加入一种变革范式,以促进向第三代卫生专业教育的发展。他们借鉴Mezirow和Freire的观点,主张通过更好地调整医学教育和人口需求,将一种变革性范式纳入改善卫生专业教育。本章探讨了如何实施卫生专业教育的变革方法,以及在哪些方面最有效。它还着眼于卫生专业教育中的变革范式如何为理解健康差异、结构性不平等和多样性提供额外的视角。
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