Global health in medical education: A call for more training and opportunities

Global health in medical education: A call for more training and opportunities
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DOI:
10.1097/acm.0b013e3180305cf9
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发表时间:
2007-03-01
期刊:
影响因子:
7.4
通讯作者:
Gardner, Pierce
Gardner, Pierce
中科院分区:
教育学1区
文献类型:
--
作者:
Drain, Paul K.;Primack, Aron;Gardner, Pierce

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全球移民和贸易的增长使传染病成为全世界关注的问题,并凸显了各大洲之间健康和医学的联系。现在,发达国家的医生需要对热带疾病和新出现的感染有更广泛的了解,同时对不断增加的国际旅行者和少数民族人口数量保持文化敏感。让医学生接触这些全球健康问题可以鼓励学生进入初级保健医学领域,获得公共卫生学位,并在穷人和少数民族中行医。此外,完成国际临床轮转的医学生通常会表现出更强的识别疾病表现的能力、更全面的体检技能(更少依赖昂贵的成像)以及更高的文化敏感性。美国医学生对全球健康越来越感兴趣并积极主动,但医学院却反应迟缓。作者回顾了支持在医学生中推广更多全球健康教学和机会的好处的证据。最后,作者建议医学院可以采取几项措施来满足医学生日益增长的全球健康兴趣,这将使他们成为更好的医生并加强我们的医疗系统。
Worldwide increases in global migration and trade have been making communicable diseases a concern throughout the world and have highlighted the connections in health and medicine among and between continents. Physicians in developed countries are now expected to have a broader knowledge of tropical disease and newly emerging infections, while being culturally sensitive to the increasing number of international travelers and ethnic minority populations. Exposing medical students to these global health issues encourages students to enter primary care medicine, obtain public health degrees, and practice medicine among the poor and ethnic minorities. In addition, medical students who have completed an international clinical rotation often report a greater ability to recognize disease presentations, more comprehensive physical exam skills with less reliance on expensive imaging, and greater cultural sensitivity. American medical students have become increasingly more interested and active in global health, but medical schools have been slow to respond. The authors review the evidence supporting the benefits of promoting more global health teaching and opportunities among medical students. Finally, the authors suggest several steps that medical schools can take to meet the growing global health interest of medical students, which will make them better physicians and strengthen our medical system.