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Physicians and Medicine in the 21st Century - Page 4


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5. Medical schools should devote more attention to selecting students who have
the values and attitudes that are essential for members of a caring profession,
who have critical analytical abilities, and who have the ability to learn indepen-
dently.
Along with these recommendations, admissions criteria will be developed that are
focused at increasing the proportion of students likely to enter primary care fields.
Therefore, some priority will likely be given to women and married applicants and those
from public colleges and rural backgrounds, as well as applicants with impressive evi-
dence of community service.
MEDICAL SCHOOL EDUCATION
The AAMC's GPEP report was a comprehensive document that dealt with all aspects of
medical education. As far as the curriculum is concerned, some of the recommendations
by the panel of experts were:
1. Medical schools should develop procedures and adopt explicit criteria for the
systematic evaluation of student performance.
2. Medical schools should emphasize the development of independent learning
and problem-solving skills.
3. The level of skills and knowledge that a student should reach in order to enter
graduate medical education (residency training) should be defined more clearly.
4. Medical schools should encourage their students to concentrate their elective
programs on the advancement of their general professional education rather
than on pursuit of a residency position.
5. Medical students' general professional education should include an emphasis on
the physician's responsibility to work with individual patients and communities
to promote health and prevent disease.
Obviously, each medical school will interpret these guidelines for curriculum
changes according to its own philosophy of education. This will add greater variability
to the learning experiences one can have at different institutions. It will obviously be
another significant factor to consider when selecting a medical school.
Medical education will place less emphasis on mastery of content and greater
emphasis on the learning process. The latter will include critical thinking, problem-solv-
ing skills, and the retrieval of information. In addition, attention will be focused on
independent, self-directed learning skills. Medical school curricular time will increase
for topics related to preventive medicine, public and community health, nutrition, geri-
atrics, behavioral sciences, and medical ethics. There will be greater educational oppor-
tunities in community health centers and out-patient clinics. Medical schools will place
more emphasis on primary care and seek to channel a very substantial part of each grad-
uating class into such residency programs. Thus, physician training will emphasize the
health care needs of the community and nation, rather than being self-determined or
determined by institutional agencies. Medical students will become better prepared for
team-oriented practices.
MEDICAL STUDENTS
Medical students will probably consist of nearly equal numbers of men and women. It is
likely that, while in medical school, students will be provided with increased opportuni-
ties for community service. While financial aid will be available, it will be more diffi-
cult to obtain. Close to graduation, students may find reduced residency opportunities;
after graduation, they will find that they will have to repay their student loans earlier,
since deferral time will be reduced.
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