医学教育需要一种新的全球领导模式。

IF 1.7 Q3 HEALTH CARE SCIENCES & SERVICES BMJ Leader Pub Date : 2024-06-06 DOI:10.1136/leader-2024-001011
Mohammed Ahmed Rashid, Thirusha Naidu
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引用次数: 0

摘要

背景:与医学的其他领域一样,医学教育依赖于世界各国和各地区之间的协作与合作,尽管没有一个机构或立场像世界卫生组织在公共卫生领域那样将全球医学教育界统一起来。最近的医学教育研究已引起人们对该领域存在的许多不公正现象的关注,在该领域,权力和影响力掌握在相对较少的全球北方国家,尽管大多数实践发生在全球南方国家:在这篇文章中,我们研究了在医学教育领域具有全球影响力的三个职位,包括世界医学教育联合会和欧洲医学教育协会的主席,以及卡罗林斯卡医学院医学教育研究奖的获得者:我们强调,这些职位的历史存在问题,并使该领域目前的权力差距长期存在。我们认为,需要另一种全球领导力模式,这种模式应由世界各地参与医学教育的人员民主决定。这种模式应将多样性和包容性放在首位,赋予那些以前在该领域决策平台上处于边缘地位的国家的领导者权力:鉴于现有领导职位和组织的缺陷,我们建议需要一个新的机构来实现这一新的愿景,而管理该机构的原则应通过辩论和民主来确定,重点是邀请那些以前在全球医学教育界未曾听到过的声音。
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Medical education needs a new model for global leadership.

Background: Like other fields in medicine, medical education relies on collaboration and cooperation between countries and regions of the world, although no single institution or position unifies the global medical education community in the way that the WHO does in public health, for example. Recent research in medical education has drawn attention to many injustices that exist in the field, where power and influence is held in relatively few Global North countries, although most practice happens in Global South countries.

Methods: In this article, we examine three positions that hold global prominence in medical education, including the presidents of the World Federation for Medical Education and the Association for Medical Education in Europe, and winners of the Karolinska Institutet Prize for Research in Medical Education.

Findings: We highlight that these positions have problematic histories and have perpetuated the current power disparities in the field. We argue that an alternative model for global leadership is required that should be determined democratically by those involved in medical education all around the world. Such a model should prioritise diversity and inclusivity, empowering leaders from countries who have previously been peripheral to the decision-making platforms in the field.

Conclusion: Given the shortcomings of existing leadership positions and organisations, we suggest that a new institution is required to realise this new vision, and that the principles that govern it should be determined through debate and democracy, with a focus on inviting those voices that have not previously been heard in global medical education circles.

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来源期刊
BMJ Leader
BMJ Leader Nursing-Leadership and Management
CiteScore
3.00
自引率
7.40%
发文量
57
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