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Critical orientations for humanising health sciences education in South Africa

机译：南非卫生科学教育人性化的重要方向

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In this article, the authors make a case for the ’humanisation' and ’decolonisation' of health sciences curricula in South Africa, using integration as a guiding framework. Integration refers to an education that is built on a consolidated conceptual framework that includes and equally values the natural or biomedical sciences as well as the humanities, arts and social sciences, respecting that all of this knowledge has value for the practice of healthcare. An integrated curriculum goes beyond add-on or elective courses in the humanities and social sciences. It is a curriculum that includes previously marginalised sources of knowledge (challenging knowledge hierarchies and decolonising curricula); addresses an appropriate intellectual self-image in health sciences education (challenging the image of the health professional); promotes understanding of history and social context, centring issues of inclusion, access and social justice (cultivating a social ethic) and finally, focuses on care and relatedness as an essential aspect of clinical work (embedding relatedness in practice). The article offers a brief historical overview of challenges in health and health sciences education in South Africa since 1994, followed by a discussion of contemporary developments in critical health sciences pedagogies and the medical and health humanities in South Africa. It then draws on examples from South Africa to outline how these four critical orientations or competencies might be applied in practice, to educate health professionals that can meet the challenges of health and healthcare in contemporary South Africa.
机译：在本文中，作者以整合为指导框架，为南非卫生科学课程的“人性化”和“非殖民化”提供了依据。融合是指在综合概念框架的基础上进行的教育，该概念框架包括并平等地重视自然或生物医学科学以及人文，艺术和社会科学，并尊重所有这些知识对于医疗保健实践具有价值。综合课程超越了人文和社会科学的附加课程或选修课程。这是一门课程，其中包括以前被边缘化的知识资源（具有挑战性的知识等级和非殖民化课程）；解决健康科学教育中适当的智力自我形象（挑战卫生专业人员的形象）；促进对历史和社会背景的理解，将包容，获取和社会公正（培养社会道德）作为中心问题，最后，将重点放在护理和相关性上，将其作为临床工作的重要方面（包括实践中的相关性）。本文提供了自1994年以来南非卫生与健康科学教育所面临挑战的简短历史回顾，然后讨论了南非关键卫生科学教学法和医学与卫生人文科学的当代发展。然后，它以南非为例，概述了这四个关键方向或能力如何在实践中应用，以教育可以应对当代南非健康和医疗挑战的卫生专业人员。

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