“Educating Medical Students: What’s the Goal?”. “Educating Medical Students: What’s the Goal?”. Preparation for the Professions Project THE CARNEGIE FOUNDATION FOR THE ADVANCEMENT OF TEACHING. “Educating Medical Students” What’s the Goal?”.
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Preparation for the Professions Project
THE CARNEGIE FOUNDATION FOR THE ADVANCEMENT OF TEACHING.
The state of medical students’ education in the early years of the 21st century (100 years after Flexner) –
- the educational program
- major contemporary challenges
MAJOR CONTEMPORAY CHALLENGE
The design and conduct of the program, and the requirements that should be met for the study of medicine,
should be based on a clear understanding of the
goal of the program!
A bit of history –
1910-1965 - preparation for practice
1965-1985 – preparation for residency
1985-2005 – general professional education
What is meant by the term, a general professional education?
Panel on the General Professional Education of the Physician and College Preparation for Medicine
- didn’t explicitly define the meaning of the term
- criticized by some for failing to emphasize
sufficiently the social sciences, behavioral sciences, and humanities
- criticized by COD and CAS for seeming to lessen the importance of scientific education
Students should learn:
WHAT IT MEANS TO BE A PHYSICIAN
What does it mean to be a physician?
Promote the health of the public.
Provide high quality care to individual patients.
Medicine is an applied discipline that requires doctors to care for real persons in real life situations! Almost without regard for specialty, doctors must be educated to understand and be prepared to deal with certain realities of modern medicine:
Does the current curriculum serve that purpose?
To educate doctors for the practice of modern medicine, the social sciences, behavioral sciences, humanities, and bioethics:
To prepare doctors for the practice of modern medicine, the clinical education of medical students must become more patient-centered, and to accomplish that, it must be redesigned to reflect the current practice environment. In every setting, the focus must be on the patient and his or her life experience!
- create ambulatory-based, longitudinal patient care experiences
- emphasize the care of patients with chronic illness
- provide meaningful experiences in emergency departments
- provide meaningful experiences in the patients’ homes, community
health centers, nursing homes, and hospice centers
To ensure that students truly learn what it
means to be a doctor!
P.S. It must be done in three years!