新科技革命,特别是人工智能时代的医学教育将发生深刻变革。日益增长的公众健康需求、复杂多样的卫生系统、普及化阶段的医学教育和持续发展更新的医学知识内容都对医学教育发展和改革提出了新的挑战。本文追溯了新科技革命引发的第四次教育革命的过程,回顾了三代医学教育改革,提出新科技革命,尤其是人工智能背景下第四代医学教育改革的概念和特征。文章提出第四代医学教育改革面对着从“以疾病为中心”向“以健康为中心”的新转变,医学教育的组织模式面临重新构建,医学教育机制体制面临重大变革。更新医学教育理念、以健康需求为导向创新人才培养体系,建立以健康为中心、以交叉、跨界、融合为特征和人工智能支撑的医学教育新范式成为新一代医学教育改革的内容。
Medical education in the new technological revolution, especially in the era of artificial intelligence, will undergo profound changes. The increasing public demand for health, complex and diverse health systems, medical education in the popularization stage, and continuously developing and updating medical knowledge all pose new challenges to the reform and development of medical education. This article reviews the process of the fourth education revolution triggered by the new technological revolution, and then proposes the concept and characteristics of the fourth generation of medical education reform in the context of the new technological revolution, especially artificial intelligence, after reviewing the reform process of the three generations of medical education. The article proposes that the fourth generation of medical education reform faces a new transformation from disease-centered to health-centered. The organizational model of medical education faces reconstruction, and the mechanism and system of medical education face significant changes. Updating the concept of medical education, innovating the talent training system guided by health needs, and establishing a new paradigm of medical education supported by artificial intelligence, which is health-centered and characterized by crossover, cross-border, and integration, has become the content of a new generation of medical education reform.
[1] 吕旭峰, 冯清. 全球高等教育未来发展形态范式转变与中国应对[J].浙江工业大学学报(社会科学版),2022,21(2):225-230.
[2] 祝智庭, 胡姣. 教育数字化转型:一个划时代的教育范式跃迁[J].中国教育政策评论,2022(1):3-21.
[3] 赵润东. 浅议教育范式及其转换[J].价值工程,2010,29(4):120-120. DOI: 10.3969/j.issn.1006-4311.2010.04.107.
[4] 安东尼·塞尔登,奥拉迪梅吉·阿比多耶. 第四次教育革命:人工智能如何改变教育[M].吕晓志, 译. 北京:机械工业出版社, 2023:1-14
[5] 周洪宇,鲍成中.盘点人类的三次重大教育革命[EB/OL]. [2024-04-01]. http://edu.people.com.cn/n/2014/0503/c1053-24967472.html.
[6] 眭依凡, 幸泰杞. 人才培养模式创新:人工智能时代大学的紧迫课题[J].中国高教研究,2024(3):8-16,21. DOI: 10.16298/j.cnki.1004-3667.2024.03.02.
[7] WFME.Standards for distributed and distance learning in medical education (2021) [EB/OL]. [2024-04-01]. https://wfme.org/wp-content/uploads/2022/05/WFME-STANDARDS-FOR-DISTRIBUTED-AND-DISTANCE-LEARNING-IN-MEDICINE_2021-final-3.pdf.
[8] 王树国. 新技术革命背景下中国高等教育变革路径探寻[J].人民论坛·学术前沿,2023(18):14-21. DOI: 10.16619/j.cnki.rmltxsqy.2023.18.002.
[9] 浙江大学. AI for education,未来已来![EB/OL]. [2024-04-01]. http://www.news.zju.edu.cn/2024/0328/c755a2895520/page.htm.
[10] 亚伯拉罕·弗莱克斯纳.弗莱克斯纳报告: 美国和加拿大的医学教育[M].王辰,孙集宽, 译. 北京:中国协和医科大学出版社, 2021:66.
[11] 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.
[12] 郭建如, 王维民. 新发展阶段我国高等医学教育改革探析[J].国家教育行政学院学报,2022,295(7):19-26,47. DOI: 10.3969/j.issn.1672-4038.2022.07.004.
[13] 李海潮, 齐心, 吴红斌. 医学教育全过程视角下院校教育阶段教学改革的思考与实践[J].中华医学教育杂志,2023,43(2):81-85. DOI: 10.3760/cma.j.cn115259-20220615-00787.
[14] 廖凯举, 王维民. 我国高等临床医学教育的现状与展望[J].医学与社会,2021,34(6):124-129. DOI: 10.13723/j.yxysh.2021.06.025.
[15] Wang WM. Medical education in China: progress in the past 70 years and a vision for the future[J].BMC Medical Education, 2021, 21(1):1-6.DOI:10.1186/s12909-021-02875-6.
[16] 贾积有, 张誉月. 人工智能与教育:机遇、挑战与对策[J].北京大学教育评论,2023,21(1):49-61. DOI: 10.12088/pku1671-9468.202301004.