拉丁美洲医学教育的变化、趋势与挑战

泛美医学院校协会(PAFAMS)董事PA Pulido等人撰文[Medical Teacher,2006,28(1):24-29]分析了拉丁美洲医学教育的多种影响因素,认为该地区的医学院校无计划地高速增长,质量得不到有效保障,卫生人力分布不合理.他们认为开展医学院校认证是解决上述问题的一条途径,并介绍了该地区医学院校认证的进展情况和趋势.     

1995-2005年利物浦大学医学史课程的发展

利物浦大学在医学教育中勇于创新,1996年医学课程全面转为基于问题的学习（PBL）模式,这为医学史课程的开设提供了契机。作者介绍了过去十年中该校医学史课程的建设与发展历史,分析了影响教学实施的多方因素。     

现代医学生科研素质和实践能力培养的探索与实践

复旦大学上海医学院经过多年不断改革与探索,建立了一套行之有效的科研素质及临床实践能力培养机制,主要体现在全程导师制的实施、课程体系的优化及教学方法的改进、床旁教学的实施、课外科技活动的开展等诸方面.通过鼓励本科生早期接触科研实践、早期接触临床病人,培养学生严谨的科学态度、创新意识和团队合作精神,显著提高了医学生的研究创新能力和临床实践能力.     

Learning and adaptation with regard to complementary medicine in a foreign context: Intercultural experiences of medical students from different cultural backgrounds

Little is known about challenges and transition that medical students from different cultural backgrounds face with regard to complementary medicine (CM). This paper explores such students’ experiences and perspectives of socio-cultural and academic difference with regard to CM and experiences of intercultural relations. Using a constructivist grounded theory approach, 30 in-depth qualitative interviews were conducted with medical students across 10 Australian medical schools. The data were rigorously analysed through a systematic process of coding, categorisation and theoretical development. The findings indicate that students adapted considerably to the host culture. Students with Western backgrounds integrated better socio-culturally and academically compared to students with non-Western backgrounds. Although nationality represented cultural identity, students’ construction of cultural difference was informed by their perception of diverging value systems within the specific educational environment. These values were, in turn, reflected in students’ reported behaviours, attitudes, and levels of engagement in socio-cultural and academic aspects of university life. Adaptation employed by students was evidenced largely due to their conflicting sense of responsibility towards familial culture regarding CM and focus on fitting in. While students’ tendency to gravitate towards cultural peers was evident, most students adapted to their host environment regarding CM to fit into normal intercultural encounters during medical school. In conclusion, students’ intercultural contact with regard to CM was both complex and problematic. At a time of significant diversification within the higher education student body, this paper highlights the role medical education institutions can play in fostering intercultural and academic guidance and support.     

立足专业领域 提升医学期刊社会效益——以“中国实用”系列医学杂志为例

医学期刊是我国出版阵地的重要组成部分,期刊出版单位必须把期刊的社会效益放在首位,实现社会效益和经济效益相统一。本文以“中国实用”系列医学杂志为例,总结分析医学期刊在舆论导向、提升专业影响力、承担社会责任以及加强期刊队伍建设等方面努力提升期刊社会效益的方法,以期有效推动期刊出版工作高质量发展。     

我国农民医疗保健事业发展沿革、现状及对策--衡阳农民医疗保健问题调查的思考

农村医疗卫生事业曾经有过较好的发展,但好景不长。目前,农村医疗卫生状况令人堪忧。农民看病难,形势严峻。要推进农村和谐社会建设,必须大力推行农村合作医疗制度改革。全面提升农民医疗保健水平。     

Leveraging microgrants to support capacity-building workshops in low- and middle-income countries for meeting the Sustainable Development Goals

Twenty fifteen marked the year of assessment for the Millennium Development Goals (MDGs). The MDGs that achieved the greatest success were those where evidence-based practice (EBP) interventions were implemented. The ability to practice evidence-based medicine is grounded in the creation of and access to medical literature that synthesizes research findings. The role that global health literature played in the success of the MDGs demonstrates that medical libraries and librarians have a role to play in achieving the Sustainable Development Goals (SDGs).Librarians can hold capacity-building workshops that provide instruction on how to access evidence-based literature and also train health professionals to conduct synthesis research. Research findings conducted by in-country health professionals are more likely to address issues being faced by local communities and will afford the possibility of obtaining the necessary evidence-based answers that can then be used to implement policies to resolve public health issues identified in the SDGs.This paper discusses how an international team of librarians leveraged funding from a Medical Library Association/Librarians without Borders/Elsevier Foundation/Research4Life grant to hold a capacity-building workshop in Zimbabwe and follow-up online trainings. The workshop focused on accessing evidence-based resources and conducting synthesis research. Outcomes included the creation and policy implementation of evidence-based knowledge products in alignment with local needs and galvanizing a multisectoral group of key individuals who have gone on to collaborate toward the vision of creating a Zimbabwe innovation hub. Looking ahead, such grants can be leveraged to conduct capacity-building to support knowledge translation and other local training needs.     

东南亚的医学教育:出现的问题、挑战和机遇

东南亚的医学教育正在快速地变革。2003年,新加坡国立大学医学教育研究室对该地区实施院校定制的开放式问题的问卷调查。本文介绍了返回问卷的30所医学院校在课程管理、教学方法、学生评价方式、教师培训与教学评价等方面的概貌和他们的主要目标、所面临的挑战与优势。     

追踪国际医学教育发展动态,聚集亚洲医学教育改革热点 --亚洲医学教育会议纵览

作者将近期从各类亚洲医学教育会议上所获取的信息进行了汇总和整理,结合文献评述了当前国际医学教育发展动态,介绍了亚洲医学教育的基本现状及改革热点,希望能对传播现代医学教育理念、理性开展医学教育改革等提供有益的参考。     

对医学教育证据的需要:作为熟悉、指导和支撑医学教育研究机会的最佳证据医学教育的发展

本文介绍了最佳证据医学教育（BEME）的起源,对日益增加的责任的需求和测量的需要,当前的进展,BEME和证据在医学教育研究界的作用,未来需要以及怎样将它们同BEME整合起来.