BHA4002 Week 3 Changes in Medical Education.edited

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Dec 6, 2023

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Changes in Medical Education Allie Hancock Capella University BHA4002: History of the United States Health Care System Chanadra Whiting 10/29/2023 1
Introduction Throughout this paper, we will be discussing and highlighting many different factors regarding the change in medical education. First, we will discuss the scope of change in medical education from the 1800s to today—the changes in the curriculum and training. We will then discuss how apprenticeship and academic models have impacted the quality of care and evolved in medical education. We will be discussing the differences between these models. Concluding our discussions, we will understand the significance of change throughout the years in medical education. The Changing Scope of Medical Education Since the 1800s, healthcare, and medical education have drastically changed. Two of the main improvements are technology and knowledge. Other examples of 2
significant improvements are standardized curriculum and clinical sciences. Flexner's (1886-1959) recommendations had the effect of closing down freestanding medical schools and incorporating them within the existing universities where students acquire skills of academic inquiry and the language of biomedical science. A concern in medical education arose when the restriction of resident working hours in the U.S. was 88 hours. Traditional curricula, inadequate funding, and weak quality assurance and accreditation practices contribute to the production of under-equipped graduates (Torres-Calicto, 2021). One of the most significant shifts in medical education is the transition toward competency-based education (CBE) (Frank et al., 2010; Thibault, 2020). CBE focuses on acquiring specific skills and knowledge. 3
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Apprenticeship Models vs. Academic Model In the 1800s, the apprenticeship model served as the primary model of medical education. Physicians receive hands-on training from experienced doctors. They also lived and worked directly with them. In the late 1800s, the academic model emerged with the apprenticeship model and is still widely used today. The academic model provides formal instruction in a university setting, a standardized curriculum, and formal assignments. Today, the apprenticeship and academic models have significantly improved medical education and the quality of patient care. These changes include classroom learning, practical training, and research. Altogether, these models emphasize both theoretical knowledge and practical skills. 4
Analyze How They Have Evolved Impact on Quality of Care Much of the research on the growth today of the apprenticeship and academic model sees the most significant jump in technology and healthcare. In the earlier days of the United States and before the 1900s, when more formal education developed, medical apprenticeships were one of the most common forms of medical education (Ludmerer, 1985). During this time, apprenticeships included more informal schooling with a practicing physician (called a preceptor) and would generally last between three to four years (Robinson, 1957). The academic model started with a set curriculum and time for learning the material but also included hands-on experiences. Importance of Understanding the History of Medicine Understanding the history of medicine is crucial. By understanding history, we learn how medical knowledge and practice have evolved. For example, the discovery of antibiotics revolutionized medicine and saved countless lives. By studying, we will be able to understand the importance of these discoveries and how they improve the quality of care for a patient and the measures they went through. Historical knowledge 5
also helps us understand the future of medicine, why procedures and treatments process the way they are and the discovery. Using previous knowledge will help create new ideas in the future to continue improving the quality of care. Conclusion Today, understanding the history of medical education is essential in shaping the future. This paper has discussed the changes that have drastically been made and evolved over the years and not only Improved quality care but also the training and knowledge of today's healthcare. We have also reviewed a significant change, which included the emergence of the apprenticeship model and academic model to improve medical education. As new knowledge and sciences evolve, healthcare and education will continue to grow with changes. 6
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References Majumder MAA, Haque, M and Razzaque, MS (2023). Editorial: Trends and challenges of medical education in the changing academic and public health environment of the 21 st century. Front. Commun . 8:1153764. Doi:10.3389/fcomm.2023.1153764 Norman, G. (7 th , February 2012). Medical education: past, present, and future . 1(1): 6– 14. doi: 10.1007/s40037-012-0002-7 . Medical education: past, present and future - PMC (nih.gov) 7
Brookfield S, ed. Self-directed Learning: From Theory to Practice. New Directions for Continuing Education , No.25. San Francisco: Jossey-Bass, 1985 8