摘要:

SUMMARYWhile continuing medical education (CME) is receiving increasing attention from medical educators and health administrators worldwide, many efforts need to be made to improve its performance and overall effectiveness. Traditionally, CME has depended primarily on periodic courses and conferences. These remain of unproven cost‐effectiveness and often the choice of their content is not tailored to meet best the needs of the learners. It is proposed that CME activities be reshaped to depend more on supervised small‐group tutorials in which the learner is an active participant in preparation and presentation. Moreover, instead of having CME activities take place once or twice a year in a distant location, a more practical format would be to plan additional activities more frequently, but less condensed, on an ongoing basis and preferably at the place of work all year round. Factors that may increase learner motivation would be to depend not only on attendance at CME activities but also on the introduction of assessment mechanisms that will measure objectively the actual desired advancement of the learners. Incentives for good learners and teachers need to be introduced. The cost of CME is heavy and can be a burden on health authorities and medical institutions. Contributions from the medical/pharmaceutical industry are acceptable provided quality control is assured and conflict of interest is avoided. Increasing use of computer‐assisted teaching and modern telecommunication should, in the near future, help to reduce costs and improve effectiveness of most CME progr

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02904.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

摘要:

SUMMARYThis paper sets out some of the issues relating to certification of specialists. It first defines the purpose of certification as assuring the public of the level of competence of specialist practice. It then describes some of the issues involved, which include the assessment of competence, the need for public involvement, the issue of re‐certification, and the problem of dealing with poor doctors. It concludes with a challenge to doctors to seize the opportunities and to enhance the quality of teaching and research in medical educatio

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02905.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

摘要:

SUMMARYIn addition to its certification programme, which assesses the readiness of foreign medical graduates to enter graduate medical education programmes in the USA, the Educational Commission for Foreign Medical Graduates (ECFMG) is involved in a number of other programmes in international medical education. These include: (1) continuing to provide sponsorship for exchange visitors in graduate medical education programmes in the USA; (2) the development of a clinical skills assessment that is currently being introduced in pilot projects in the USA and abroad and will eventually become a component of theecfmgcertification process; (3) funding and administration of two fellowship programmes that provide foreign scholars (clinicians and basic scientists) with the opportunity to spend up to one year in a US medical school; (4) collaboration with the World Health Organization on the upcoming revised edition of theWorld Directory of Medical Schools; and (5) co‐sponsorship, with the World Health Organization, of a consultation on quality medical education oriented towards attaining a global consensus on the definition and the elements of quality in medical education and on the most appropriate ways to evaluate qualit

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02906.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02907.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02908.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02909.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

摘要:

SUMMARYThe primary objective of medical education to medical students should not be the recruitment of specialists or to provide instructions about highly sophisticated clinic medicine. Our responsibility towards them is rather to enable them to learn about medical practice in its most prevalent context, which is the community medical practice, and to contribute to their general medical education and the health welfare of their community. The health needed by the nation cannot possibly be provided by specialists. It is a task for all doctors. If we agree that the ultimate goal of medical education is to secure health and proper care (whether primary, secondary or tertiary) for the population, medical curricula and learning settings should be open for any modifications that ensure a proper approach to our patients’ practicalities, resources and needs. A major modification involved in that process would be for the educational setting to move from the hospital into the community and doctors to acquire the skills and conviction of working as part of a health team, in which they are not necessarily the leader

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02910.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02911.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02912.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02913.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID