Issues and priorities of medical education research in Asia.

Majumder MA.

Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia. azim@kb.usm.my


본 논문은 아시아 지역에서의 의학교육연구의 역할/이슈/접근/논리/함정/우선순위/균형 등을 다루고자 하며, 특히 그 불안정한 지위를 중심으로 보고자 한다. 의학교육연구는 많은 방향으로 영향을 미쳐왔는데, 가장 중요한 것은 이해관계자들의 교육과 관련한 결정에 대한 타당한 근거를 제시했다는 것이다. 또한 교육 현장 뿐만 아니라 임상 현장에도 광범위한 사회적 영향을 끼쳤다.

This article addresses the roles, issues, approaches, rationale, pitfalls, priorities and balance of research in medical education, particularly its "disarray" status in Asia. Research in medical education has influenced education in many ways. Most importantly, it provides legitimate evidences to stakeholders on which to make educational decisions. It also has a wider social impact on teaching practice and subsequent clinical practice. 


그러나 아시아에서 의학교육연구는 교육 정책이나 진료에 크게 영향을 주고 있지는 않다. 또한 선진국에서 그것이 받는 관심만큼 높은 관심을 받고 있지 못하다. 여기에는 여러하지 한계점이 있다.

However, in Asia, medical educational research has not substantially influenced educational policy and medical practices. Moreover, it fails to receive comparable attention as in developed countries. A number of constraints that have hampered the development of educational research in Asia are identified: 

low socio-economic condition of the region; 

cultural and religious values and beliefs of the people; 

lack of congruence between the mission and vision of medical schools; 

leadership crisis; 

lack of financial resources; 

inadequate exposure to medical educational research in undergraduate training; 

lack of collaboration and commitment; and 

unforeseeable short-term outcome of medical education. 


본 문헌은 아시아에서 연구를 장려하는 풍토를 강화하기 위한 몇 가지 조언을 제안하고자 한다. 

The article concludes with some specific recommendations to strengthen research and to create a research culture in the region, including...

active leadership and commitment of the institutes/organisations, 

careful assessment and strategic settings of the priorities of medical educational research, 

establishment of a regional centre for medical education research, 

availability of financial resources, 

wider dissemination of research findings, 

collaboration with the developed countries and 

initiative to publish regional-based medical education journals, including electronic journals. 


Appropriate research environment and culture will enable stakeholders to obtain evidence-based information from educational research to increase the relevance, quality, cost-effectiveness and equity of medical education and practice in Asia.



Introduction

  • 의과대학 : 
    • Three-legged stool : 교육, 연구, 진료
    • Triple-threat academicians : Investigators, teachers, practicing physician
  • 그러나 최근에는 여기에 social responsiveness라는 네 번째 obligation이 추가되었음.

  • 아시아의 의학교육과 다른 선진국의 의학교육에 차이가 벌어지고 있음
    • Colonial-biased, subject-oriented, teacher-centered, discipline-based, lecture-focused, hospital-based traditions
    • 즉, 국가적 건강 요구에 부합하는 의사를 양성하지 못하고 있으며, 지역사회의 요구에 맞는 의료를 만들어나가는 리더십 역할을 하지 못하고 있다는 비판.
  • 1995년과 2000년 사이의 publication을 보면 Academic Medicine에는 1%, Medical Education에는 8%만이 아시아 국가에서 발표한 논문이다.

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 2004 Mar;33(2):257-63.

Issues and priorities of medical education research in Asia.

Abstract

This article addresses the roles, issues, approaches, rationale, pitfalls, priorities and balance of research in medical education, particularly its "disarray" status in Asia. Research in medical education has influenced education in many ways. Most importantly, it provides legitimate evidences to stakeholders on which to make educational decisions. It also has a wider social impact on teaching practice and subsequent clinical practice. However, in Asia, medical educational research has not substantially influenced educational policy and medical practices. Moreover, it fails to receive comparable attention as in developed countries. A number of constraints that have hampered the development of educational research in Asia are identified: low socio-economic condition of the region; cultural and religious values and beliefs of the people; lack of congruence between the mission and vision of medical schools; leadership crisis; lack of financial resources; inadequate exposure to medical educational research in undergraduate training; lack of collaboration and commitment; and unforeseeable short-term outcome of medical education. The article concludes with some specific recommendations to strengthen research and to create a research culture in the region, including active leadership and commitment of the institutes/organisations, careful assessment and strategic settings of the priorities of medical educational research, establishment of a regional centre for medical education research, availability of financial resources, wider dissemination of research findings, collaboration with the developed countries and initiative to publish regional-based medical education journals, including electronic journals. Appropriate research environment and culture will enable stakeholders to obtain evidence-based information from educational research to increase the relevance, quality, cost-effectiveness and equity of medical education and practice in Asia.

Comment in

PMID:
 
15098645
 
[PubMed - indexed for MEDLINE] 

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