Thinking the post-colonial in medical education
Thinking the post-colonial in medical education
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DOI：
10.1111/j.1365-2923.2007.02991.x
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发表时间：
2008-03-01
影响因子：
6
通讯作者：
Bligh, John
中科院分区：
文献类型：
--
作者：
Bleakley, Alan;Brice, Julie;Bligh, John
西医和医疗技术正以越来越快的速度出口到世界各地。在全球化的并行浪潮中，西方医学教育也正在进入世界各地的医学院，医院和诊所。尽管这一迅速扩大的活动领域，有没有文学讨论后殖民理论和医学education.Discussion之间的关系虽然在教育的国际伙伴关系和合作的潜在利益是不容置疑的，许多医学教育工作者有时太unreflecting关于他们在做什么，当他们主张西方课程，教育方法和教学技术的出口。西方医学课程沉浸在一套特定的文化态度中，很少受到质疑。我们认为，从一个关键的理论角度来看，未经考虑的企业全球化的医学课程的风险来代表一个“新浪潮”的帝国主义。使用来自日本，印度和东南亚的例子，我们展示了非西方国家的医学院如何与一些课程创新的根深蒂固的文化假设作斗争，例如客观结构化的临床考试，结论：我们需要更好地理解岗位技能与临床技能之间的关系，殖民地研究和医学教育，如果我们要防止新一波的帝国主义，通过不加反思的传播概念框架和实践，认为“大都市西部是最好的”。
CONTEXT Western medicine and medical techniques are being exported to all corners of the world at an increasing rate. In a parallel wave of globalisation, Western medical education is also making inroads into medical schools, hospitals and clinics across the world. Despite this rapidly expanding field of activity, there is no body of literature discussing the relationship between post-colonial theory and medical education.DISCUSSION Although the potential benefits of international partnerships and collaborations in education are incontrovertible, many medical educators are sometimes too unreflecting about what they are doing when they advocate the export of Western curricula, educational approaches and teaching technologies. The Western medical curriculum is steeped in a particular set of cultural attitudes that are rarely questioned. We argue that, from a critical theoretical perspective, the unconsidered enterprise of globalising the medical curriculum risks coming to represent a 'new wave' of imperialism. Using examples from Japan, India and Southeast Asia, we show how medical schools in non-Western countries struggle with the ingrained cultural assumptions of some curricular innovations such as the objective structured clinical examination, problem-based learning and the teaching of clinical skills.CONCLUSIONS We need to develop greater understanding of the relationship between post-colonial studies and medical education if we are to prevent a new wave of imperialism through the unreflecting dissemination of conceptual frameworks and practices which assume that 'metropolitan West is best'.