弗莱克斯纳报告精神引领下加拿大医学教育未来图景.docVIP

弗莱克斯纳报告精神引领下加拿大医学教育未来图景 　　摘要：2007年加拿大医学院校联合会启动了“加拿大未来医学教育规划”，这一规划的总体目标就是深入剖析加拿大本科医学教育的现状，主要关注其与当代社会和未来社会的需求之间的契合程度。与弗莱克斯纳报告相同的是，该规划涉及一个反思和复兴的过程，而与弗莱克斯纳报告不同的是，它采用了多种技术手段来搜集信息。该规划的总结报告以“加拿大医学教育的未来：集成的愿景”为题，提出了关于21世纪初医学学术与教育优先发展领域的10项建议。本文将这10项建议与1910年弗莱克斯纳报告所提出的优先解决的问题作了关联比较，弗莱克斯纳精神聚焦于作为科学的医学的内涵，而当代的重心则转向医学与社会需求之间的联系。回顾弗莱克斯纳报告，我们可以体会它对当代医学教育的引领作用，同时更加清晰地认识到医学教育的未来探索方向。 　　关键词：医学教育；加拿大；弗莱克斯纳报告 　　中图分类号：Ｇ649.711文献标识码：Ａ文章编号：１６７２－００５９（２０11）０1－００92－０5 　　 　　In the Spirit of Flexner: Working Toward a Collective Vision for the Future of Medical Education in Canada 　　Busing N et al (writer), WANG Qing (editor-translator) 　　(Medical Education Research Unit, Shanghai Medical College Fudan University, Shanghai 200032) 　　Ａｂｓｔｒａｃｔ:The Association of Faculties of Medicine of Canada launched the Future of Medical Education in Canada (FMEC) Project in 2007. The FMEC Projects overarching goal was to comprehensively examine the current state of undergraduate medical education, concentrating on its alignment with current and future social needs. Like Flexners work, the FMEC Project used a process of reflection and renewal; unlike Flexners work, the FMEC Project used multiple techniques to gather information. The projects final report, The Future of Medical Education in Canada: A Collective Vision, put forth 10 recommendations that summarized priority areas doe academic medicine and medical training in Canada at the start of the 21st century. The current article reviews FME Project recommendations in relation to the priorities set out by Flexner in 1910. While Flexnerian themes tend to center on the notion of medicine as science, present-day priorities converge on the link between academic and societal needs. By looking back on Flexners work, we can see where his vision has taken us. As well, we see more clearly the new frontiers that academic medicine will continue to explore. 　　Ｋｅｙ ｗｏｒｄｓ:Medical education; Canada; Flexner report 　　“忘记历史的人注定要重蹈覆辙！”这句常被引用的名言也被当代的亚伯拉罕?弗莱克斯纳再一次书写，他