Global Health in Canadian Medical Education: Current Practices and Opportunities
Global Health in Canadian Medical Education: Current Practices and Opportunities
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DOI：
10.1097/acm.0b013e31816095cd
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发表时间：
2008-02-01
影响因子：
7.4
通讯作者：
Brewer, Timothy F.
中科院分区：
文献类型：
--
作者：
Izadnegahdar, Rasa;Correia, Shauna;Brewer, Timothy F.
目的全球化正在改变健康和医疗保健。与此同时，未来和现有的医学生越来越多地要求全球健康培训，并在医学院没有提供这些培训和创造机会的情况下创造机会。为了了解加拿大医学院提供的全球健康活动的类型和数量，作者对2005-2006学年所有17所医学院提供的全球健康教育机会进行了调查。方法采用结构化问卷调查的方式，从院长办公室、机构代表、教职员工、学生和医学院网站收集信息。加拿大医学院在全球健康教育的方法上差异很大，从全球健康方面的必修课或选修课，到发展良好的两年制选修课，其中包括授课和海外培训。对于涵盖的教育内容、教授全球卫生问题的年份、材料应该是选修课还是必修课，或者需要多少培训，没有达成共识。在允许学生参加国际选修课的16所加拿大医学院中，44%的学校允许这些选修课在没有明确的教员监督或输入的情况下进行。结论尽管医学生不断增长的强劲需求以及不断变化的社会力量要求更好的全球卫生培训，但加拿大医学院的课程并不能很好地满足这些需求。在加拿大医学院课程中改善全球健康机会可能需要管理学术机构的国家领导。
PurposeGlobalization is altering health and health care. At the same time, prospective and current medical students are increasingly requesting global health training and creating opportunities when these are not provided by medical schools. To understand the type and amount of global health activities provided in Canadian medical schools, the authors undertook a survey of global health educational opportunities available at all 17 medical schools during the 2005-2006 academic year.MethodUsing a structured questionnaire, information was collected from deans' offices, institutional representatives, faculty, students, and medical school Web sites.ResultsAll 17 medical schools participated. Canadian medical schools vary widely in their approach to global health education, ranging from neither required nor elective courses in global health to well-developed, two-year electives that include didactic and overseas training. There is no consensus on the educational content covered, the year in which global health issues are taught, whether materials should be elective or required, or how much training is needed. Of the 16 Canadian medical schools that allow students to participate in international electives, 44% allow these electives to occur without clear faculty oversight or input.ConclusionsDespite both the strong, growing demand from medical students and the changing societal forces that call for better global health training, Canadian medical school curricula are not well positioned to address these needs. Improving global health opportunities in Canadian medical school curricula will likely require national leadership from governing academic bodies.