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首页> 外文期刊>Medical teacher >Is the modernisation of postgraduate medical training in the Netherlands successful? Views of the NVMO Special Interest Group on Postgraduate Medical Education
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Is the modernisation of postgraduate medical training in the Netherlands successful? Views of the NVMO Special Interest Group on Postgraduate Medical Education

机译：荷兰的研究生医学培训现代化是否成功？ NVMO特别兴趣小组对研究生医学教育的看法

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Background: Worldwide, the modernisation of medical education is leading to the design and implementation of new postgraduate curricula. In this article, the Special Interest Group for postgraduate medical education of the Netherlands Association for Medical Education (NVMO) reports on the experiences in the Netherlands. Aim: To provide insight into the shift in the aims of postgraduate training, as well as into the diffusion of distinct curricular activities, introduced during the process of modernisation. Methods: Based on three levels of training described by Frenk et al., the process of modernisation in the Netherlands is reviewed in a narrative way, using the expert views of the NVMO-SIG on PGME as a source of information. Results: Educational science has effectively been incorporated and has until now mainly been applied on the level of informative learning to create 'medical expertise'. Implementing change on the level of formative learning for 'professional performance' has until now been a slow and arduous process, but the concept of reflection on practice has been firmly embraced. The training on the level of transformative learning is still in its early stages. Conclusion and recommendations: The discussion about the aims of modern medical education could benefit from a more structured and transdisciplinary approach. Research is warranted on the interface between health care provision and those sciences that specialise in generic professional skills and in the societal context. Training professionals and educating 'enlightened change agents' for transformation in health care requires more governance and support from academic leaders with a broader perspective on the future of health care.
机译：背景：在世界范围内，医学教育的现代化正在导致新研究生课程的设计和实施。在本文中，荷兰医学教育协会（NVMO）的研究生医学教育特别兴趣小组报告了荷兰的经验。目的：提供有关现代化培训过程中引入的研究生培训目标的转变以及独特的课程活动的传播的见解。方法：基于Frenk等人描述的三个层次的培训，以叙述性的方式回顾了荷兰的现代化过程，使用NVMO-SIG在PGME上的专家观点作为信息来源。结果：教育科学已被有效地整合，并且直到现在主要应用于信息学习水平上，以创建“医学专业知识”。迄今为止，为实现“专业绩效”而在形成性学习水平上实施变革是一个缓慢而艰巨的过程，但人们已经坚定地接受了反思实践的概念。变革性学习水平的培训仍处于初期阶段。结论和建议：有关现代医学教育目标的讨论可以受益于更结构化和跨学科的方法。必须对卫生保健提供与那些专门研究通用专业技能和社会背景的科学之间的接口进行研究。培训专业人员并教育“开明的变革推动者”以实现医疗保健转型，需要学术领导者更多的治理和支持，并对医疗保健的未来有更广阔的视野。

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