Marco Antonio de Carvalho Filho, Frederic William Hafferty
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引用次数: 0
摘要
在这篇文章中,我们建议根据巴西医学教育的历史和演变发展 "联系教学法"。这种教学法产生于医疗保健系统和高等教育系统的交叉点,这两个系统都致力于社会正义和普及教育的原则,以回应巴西为解决奴隶制和社会不平等的持久影响所做的努力。继 "卫生改革 "运动--巴西医疗保健和医学教育系统的奠基时刻--之后,巴西建立了统一公共医疗保健系统(Sistema Único de Saúde - SUS)。SUS 建立在普遍性、整体性、公平性、社区参与、政治和行政权力下放、分级和区域化等原则基础之上。根据这些核心原则,并在批判教学法的启发下,巴西医学教育不断发展,对社会正义、批判意识、专业存在和同情心做出了深刻的承诺。这种演变催生了 "联系教学法",使医学教育充满了使命感和愉悦感,为未来的医学专业人员应对不断发展的社会和医疗保健系统的挑战做好了准备。这种教学法所促进的联系涉及以下几个互补层面:(a)医疗保健系统和社会;(b)社区;(c)专业;(d)患者;以及(e)我们自己。这种创新的教学法通过强调发展以社会正义和以患者为中心的护理为基础的专业身份,加强了医学教育的讨论和实践,而这对当前的医学教育体系来说仍然是一项挑战。随着全球医学教育界接受非殖民化,这种教学法提供了一个框架,可以在全球各种背景下加以调整和丰富,以对话和民主的方式促进从不同教育系统相互学习的机会。
Adopting a pedagogy of connection for medical education.
In this article, we propose developing a "pedagogy of connection" based on the history and evolution of medical education in Brazil. This pedagogy emerged from the intersection of the healthcare and higher educational systems, both dedicated to the principles of social justice and universal access, in response to the country's efforts to address the enduring impacts of slavery and social inequality. Following the "Sanitary Reformation" movement-a foundational moment for Brazil's healthcare and medical education systems-Brazil established the Unified Public Healthcare System (Sistema Único de Saúde - SUS). SUS is founded on principles of universality, integrality, equity, community participation, political and administrative decentralisation, hierarchisation and regionalisation. Aligned with these core principles and inspired by critical pedagogy, Brazilian medical education has evolved with a profound commitment to social justice, critical consciousness, professional presence and compassion. This evolution has given rise to a "pedagogy of connection," which imbues medical education with a sense of purpose and joy, preparing future medical professionals to address the challenges of our ever-evolving society and healthcare systems. The connections fostered by this pedagogy occur in complementary dimensions: (a) healthcare system and society, (b) community, (c) profession, (d) patients, and (e) ourselves. This innovative pedagogy enhances medical education discourse and practice by emphasising the development of a professional identity grounded in social justice and patient-centred care, which remain challenges for current medical education systems. As the global medical education community embraces decolonisation, this pedagogy offers a framework that can be adapted and enriched in various contexts worldwide, fostering opportunities for mutual learning from diverse educational systems in a dialogical and democratic manner.
期刊介绍:
Medical Education seeks to be the pre-eminent journal in the field of education for health care professionals, and publishes material of the highest quality, reflecting world wide or provocative issues and perspectives.
The journal welcomes high quality papers on all aspects of health professional education including;
-undergraduate education
-postgraduate training
-continuing professional development
-interprofessional education