Evolution of postgraduate medical education: lessons from history to shape the future.

Abstract

Ensuring professional competencies of medical specialists remains a major and ongoing concern. This study focuses on the historical evolution of personnel development in different countries, emphasizing postgraduate specialization and the educational models that emerged as a result. The study goes beyond a chronological analysis of events, seeking to identify and compare the major turning points in the postgraduate medical education (PGME) systems in different developed countries. In parallel, the events related to the formation of the postgraduate education system in Armenia were also considered, since a number of procedures related to the postgraduate education system are currently being revised in Armenia. This study also includes the overview of the Soviet educational model, since it also had a significant impact on the formation of the Armenian model. Such comparisons provide insight into the influence of these milestones on the development of modern educational models. Through a comprehensive analysis of various sources, including academic publications, reports, books, archival materials and legal documents related to the history of medicine, the study reveals significant historical trends, events and ideas in the field of medical education (ME). Models operating in different countries have undergone their own developmental journeys, during which they have been refined, improved, and shaped specific cultures and traditions. The historical analysis of PGME provided a broader understanding of the systems operating in different countries, revealing similarities, differences, and key lessons from each. Specific turning points in the different systems were identified that played a transformative role in the evolution of educational models and practices. A comparative analysis of models used in countries with developed PGME systems and the current structure of Armenian PGME system has identified key areas where revision could help shape the future of Armenian system and bring it in line with leading global educational standards.