英国医学总会12份报告与英国医学教育发展

doi:10.3760/cma.j.cn115259-20240220-00153

中华医学教育杂志 ›› 2024, Vol. 44 ›› Issue (9): 713-720.DOI: 10.3760/cma.j.cn115259-20240220-00153

• 国外医学与比较医学教育 • 上一篇

英国医学总会12份报告与英国医学教育发展

张培, 翟海魂

河北医科大学医教协同与医学教育研究中心,石家庄 050017

收稿日期:2024-02-20 出版日期:2024-09-01 发布日期:2024-09-03
通讯作者: 翟海魂, Email: zhaihaihun@hebmu.edu.cn
基金资助:
2020年河北省社会科学基金重点项目“西方医学教育史研究”(HB20JY001)

The 12 reports issued by the General Medical Council and the transition of medical education in the UK

Zhang Pei, Zhai Haihun

Medicine-education Coordination and Medical Education Research Center, Hebei Medical University, Shijiazhuang 050017, China

Received:2024-02-20 Online:2024-09-01 Published:2024-09-03
Contact: Zhai Haihun, Email: zhaihaihun@hebmu.edu.cn
Supported by:
Key Project of Hebei Provincial Social Science Foundation ″Research on the History of Western Medical Education″ (HB20JY001)

摘要/Abstract

摘要： 目的本研究通过对英国医学总会(General Medical Council,GMC)发布的12份报告进行分析,来探究英国现代医学教育的发展。方法研究采用质性研究的主题分析法和内容分析法,对报告文本进行分析。采用Nvivo14软件的词频分析和编码分析功能,归纳出英国医学教育经历的发展阶段及其各阶段特征。结果自1858年以来,英国医学教育经历了3个阶段,3个阶段的典型特征分别为:“以科学学科为导向的教育变革”“以课程整合为导向的教育变革”“以胜任力为导向的教育变革”。教育目标、教育内容、教育方法、教育评价在各阶段均发生变化。结论在全球医学教育模式持续变革的背景下,以GMC为代表的非盈利性组织发挥了越来越重要的作用。各国应重视并发挥好非盈利性组织的力量,推动未来医学教育改革与发展。

关键词: 教育,医学, 标准, 课程, 变革, 英国医学总会

Abstract: Objective This study aims to uncover the development in the United Kingdom and the role of the General Medical Council (GMC) through analysis of 12 reports issued by the GMC. Methods This study employed qualitative research methods including thematic analysis and content analysis. Utilizing the word frequency and coding analysis functions of Nvivo14 software, the study identifies the developmental stages and core themes of British medical education in each stage. Results Since 1858, UK medical education has undergone three stages. The characteristics of these three stages are examination-oriented, curriculum integration-oriented, and outcome-oriented reforms. Each stage has brought corresponding changes in educational objectives, content, methods, and evaluation. Conclusions Amid global transformations in the model of medical education, non-profit organizations like the General Medical Council (GMC) have become increasingly influential in shaping the field. Countries should pay attention to and make good use of the power of non-profit organizations to promote the reform and development of medical education in the future.

Key words: Education, medical, Standards, Curriculum, Transition, General Medical Council (GMC)

中图分类号:

张培, 翟海魂. 英国医学总会12份报告与英国医学教育发展[J]. 中华医学教育杂志, 2024, 44(9): 713-720.

Zhang Pei, Zhai Haihun. The 12 reports issued by the General Medical Council and the transition of medical education in the UK[J]. Chinese Journal of Medical Education, 2024, 44(9): 713-720.

参考文献

[1] 侯建林,王维民.外国医学教育[M].北京:北京大学医学出版社,2023:8-9.
[2] Frenk J, Chen L, Bhutta ZA, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world[J]. Lancet, 2010,376(9756):1923-1958. DOI: 10.1016/S0140-6736(10)61854-5.
[3] Calman KC. Medical education: past, present and future[M]. London:Churchill Livingstone,2007:244.
[4] Hsieh HF, Shannon SE. Three approaches to qualitative content analysis[J]. Qual Health Res, 2005,15(9):1277-1288. DOI: 10.1177/1049732305276687.
[5] Tyler RW. Basic principles of curriculum and instruction[M]. Chicago: University of Chicago Press,1949:25-33.
[6] Recommendations of the General Medical Council, in reference to general and professional education[J]. Br Med J, 1863,2(140):273.
[7] Recommendations of the General Medical Council on education and examination[J]. Br Med J, 1877,1(858):725-727.
[8] MacAlister, Donald. General Council of Medical Education and Registration. Summer Session, 1922[J]. Br Med J, 1922,1(3205):211-218.
[9] Resolutions in regard to professional education: adopted by the General Medical Council on May 29th, 1936, to come into operation on January 1st, 1938[J]. Br Med J, 1936,1(3935):1174-1176.
[10] Revision of medical curriculum: new recommendations by G.M.C.: some ‘Goodenough’ proposals embodied[J]. Br Med J, 1947,1(4504):608-610.
[11] General Medical Council. Recommendations as to the medical curriculum[J]. Br Med J, 1957,1(5031):327-328.
[12] General Medical Council. The report of the GMC survey of basic medical education in the United Kingdom and Republic of Ireland[R]. London:Nuffield Provincial Hospitals Trust,1976:843-867.
[13] General Medical Council: Education Committee. Recommendations on basic medical education[R]. Nottingham: University of Nottingham Library, 1980.
[14] General Medical Council,UK. Tomorrow's doctors[R]. London:GMC,1993. https://www.gmc-uk.org.
[15] General Medical Council,UK. Tomorrow's doctors[R]. London:GMC,2003. https://www.gmc-uk.org.
[16] General Medical Council,UK. Tomorrow's doctors[R]. London:GMC,2009. https://www.gmc-uk.org.
[17] General Medical Council,UK. Promoting excellence:standards for medical education and training[R]. London:GMC,2016. https://www.gmc-uk.org.
[18] General Medical Council. Objectives in relation to basic medical education[J]. Med Educ, 1977, 11(4):241-306.DOI: 10.1111/j.1365-2923.1977.tb00602.x.
[19] 嵇艳. 英国本科医学教育培养目标的嬗变——基于《明日的医生》报告的解读[J].医学与哲学,2013,34(15):30-33.
[20] Training of Doctors: the Goodenough Committee's Report[J]. Br Med J, 1944,2(4359):121-123.
[21] Poynter FNL. The evolution of medical education in Britain[M]. London:Pitman Medical Press,1996:198.
[22] Sinclair DC. Basic medical education[M]. London:Oxford University Press,1972:6-9,81-89.
[23] Thomson AP. The influence of the General Medical Council on education[J]. Br Med J, 1958,2(5107):1248-1250. DOI: 10.1136/bmj.2.5107.1248.
[24] Irvine D. A short history of the General Medical Council[J]. Med Educ, 2006,40(3):202-211. DOI: 10.1111/j.1365-2929.2006.02397.x.
[25] 王维民. 新科技革命背景下的医学教育范式转型[J].中华医学教育杂志,2024,44(6):401-406. DOI: 10.3760/cma.j.cn115259-20240405-00352.
[26] Christopher DF, Harte K, George CF. The implementation of Tomorrow's Doctors[J]. Med Educ, 2002,36(3):282-288. DOI: 10.1046/j.1365-2923.2002.01152.x.
[27] General Medical Council,UK. The state of medical education and practice in the UK[R]. London:GMC, 2013. https://www.gmc-uk.org.
[28] General Medical Council,UK. The state of medical education and practice in the UK[R]. London:GMC, 2017. https:// www.gmc-uk.org.
[29] Bazira PJ. Medical education in the United Kingdom: a post-structural critical policy analysis[D]. Sheffield, UK: University of Sheffield, 2017.
[30] General Medical Council,UK. Horizon scanning-findings from the first cycle[R]. London:GMC, 2018. https:// www.gmc-uk.org.
[31] 侯建林, 孙秋丹, 谢阿娜, 等. 非营利性组织在美国医学教育管理中的作用与启示[J].中华医学教育杂志,2018,38(4):629-633. DOI: 10.3760/cma.j.issn.1673-677X.2018.04.034.
[32] 张驰, 王志锋, 王维民, 等. 两版《明日医生》的比较及对中国医学教育标准的启示[J].中国高等医学教育,2015(12):31-32. DOI: 10.3969/j.issn.1002-1701.2015.12.016.
[33] 国务院办公厅.国务院办公厅关于加快医学教育创新发展的指导意见[J]. 中华人民共和国国务院公报, 2020(28): 27-31.

英国医学总会12份报告与英国医学教育发展

The 12 reports issued by the General Medical Council and the transition of medical education in the UK

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