“全球医学教育最基本要求”的研究与在中国的实践

由国际医学教育委员会(IIME)研究和建立的“全球医学教育最基本要求”(GMER)规定了在任何国家培养的医生都应该达到的在医学知识、技能、职业态度、行为和价值观等方面的最基本要求。本文简要介绍GMER的7个领域和具体的60条标准,并与前不久世界医学教育联合会和WHO西太区医学教育协会制定的医学教育国际标准加以比较,归纳出GMER的特点是关注本科医学教育的最终产出,而不是教育的过程。IIME还研究建立了与GMER的7个领域60条标准相配套的三大类评估工具,即笔试、客观结构化临床考试和观察。据悉,GMER已被翻译为包括中文在内的14种文字,它在全球的影响将越来越大,值得我们深入研究。

"Global minimum essential requirements in medical education" and its experimental implementation in China

"Global minimum essential requirements in medical education" (GMER) was established by the Institute for International Medical Education (IIME), which was established in 1999 and consisted of members from all over the world. No matter where the medical students were trained in the world, the GMER should be reached by all of the graduates. The GMER includes 6 domains, namely, professional values, attitudes, behavior and ethics, scientific foundation of medicine, communication skills, clinical skills, population health and health systems, information management and critical thinking, with 61 items. Eight China leading medical schools cooperated with IIME and all of the 6th grade year 7-year program students participated the assessment of GMER through multiple-choice questions, objective structured clinical examination and observation. Results and feedback were provided to all of the 8 schools, showing some areas that is strength, borderline or needing improvement. Experiences of the experiment implementation will benefit the revision of GMER and the spreading of GMER in the world.