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The Evolving Role of Public Health in Medical Education

机译：公共卫生在医学教育中的不断发展作用

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Medical education in the twentieth century was largely influenced by the Flexner Report, with significant proportions of instruction dedicated to the molecular underpinnings of the pathologic pathways and minimal mention of the socio-ecological determinants of health. When examining the predominant diseases of the twenty first century landscape, widening health disparities, and significant changes in the United States healthcare system, it is imperative to view wellness and sickness in a broader public health context rather than a singular focus of the biomedical model. While undergraduate opportunities to study public health are on the rise in the United States, there is a parallel urgency for medical curricula to recognize the importance of the complex interrelated socio-ecological root causes of health, well-being, and illness. In order to reduce the risk of non-communicable diseases and increase health equity, it is necessary for medical education to integrate core public health knowledge and competencies. Contemporary health challenges require a public health approach, in addition to clinical skills, for physicians to provide equitable care. The COVID-19 pandemic further underscores the necessity to mitigate the effects of socio-ecological determinants of health. Seven key recommendations are presented from a training to practice timeline emphasizing the important linkages between medical education, socio-ecological influences on health, and public health. As the health challenges in society and communities shift, so too must training of future physicians. There is a need and an opportunity for medicine and public health to address the shared health challenges of our global society.
机译：二十世纪的医学教育在很大程度上受到Flexner报告的影响，具有致力于致力于病理途径的分子支撑性的大量指导，以及最低提及健康的社会生态决定因素。当检查二十世纪景观的主要疾病，扩大卫生差异和美国医疗保健系统的重大变化，必须在更广泛的公共卫生背景下观看健康和疾病，而不是生物医学模型的奇异重点。虽然学习公共卫生的本科机会正在美国崛起，但医学课程有一个平行紧迫性，以认识到复杂的相互关联的社会生态生态根本原因的重要性，福祉和疾病的重要性。为了降低非传染性疾病的风险并提高健康股权，有必要进行医学教育，以整合核心公共卫生知识和能力。当代健康挑战需要公共卫生方法，除了临床技能，对于医生提供公平的护理。 Covid-19大流行进一步强调了减轻社会生态决定簇的影响的必要性。培训七项主要建议，练习时间表强调医学教育，社会生态影响对健康和公共卫生的重要联系。作为社会和社区转变的健康挑战，也必须培养未来的医生。有必要，有机会为医学和公共卫生解决我们全球社会的共同健康挑战。

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