1 国际医学教育改革趋势_图文.pptVIP

第三代改革：胜任力为核心 医学教育（各阶段）均不能使学生面对以下挑战： patient-centered care (比病人为中心） interdisciplinary teams （多学科团队） evidence-based practice （循证医学） continuous quality improvement （不断提升医疗质量） use of new informatics （新信息的利用） integration of public health （结合公共卫生） 核心问题 core competencies 医学生执业能力以多伦多大学医学院为例 Medical Expert/Skilled Clinical Decision Maker Communicator/Doctor-Patient Relationship Collaborator Manager Health Advocate Scholar Professional Medical Expert/Skilled Clinical Decision Maker Possess knowledge of basic sciences, human health and disease （拥有知识） Be able to gather and interpret clinical data to make evidence-informed decisions about patient care.（基于循证的临床决策能力） Communicator /Doctor-Patient Relationship To communicate effectively and humanely with patients, their families and other health professionals through a variety of means in order to gather and deliver information in ways that respect patients’ unique attributes Collaborator Understand the roles of other members of the health care team Work effectively with them in order to achieve the best possible outcome for the patient. Manager Understand the health care system and health care resources their impact on patient care and the population Participate effectively in teams, programs, and larger organizations Contribute to innovation in health care Health Advocate Understands the determinants of health at both the individual and population levels, Participate in efforts directed at disease prevention and promoting healthy behaviour at all levels Scholars Contributing to new knowledge as researchers Sharing of knowledge as educators Lifelong process of maintaining competence Engaging in creative professional activity Professional Being ethical, honest, compassionate and altruistic in dealing with patients and others Being reliable in fulfilling obligations, Recognizing one’s limitations Abiding by professional codes of conduct including dealing appropriately with medical errors 山大医学院实施的几项