弗莱克斯纳报告精神引领下的加拿大医学教育未来图景

In the Spirit of Flexner: Working Toward a Collective Vision for the Future of Medical Education in Canada

2007年加拿大医学院校联合会启动了“加拿大未来医学教育规划”，这一规划的总体目标就是深入剖析加拿大本科医学教育的现状，主要关注其与当代社会和未来社会的需求之间的契合程度。与弗莱克斯纳报告相同的是，该规划涉及一个反思和复兴的过程，而与弗莱克斯纳报告不同的是，它采用了多种技术手段来搜集信息。该规划的总结报告以“加拿大医学教育的未来：集成的愿景”为题，提出了关于21世纪初医学学术与教育优先发展领域的10项建议。本文将这10项建议与1910年弗莱克斯纳报告所提出的优先解决的问题作了关联比较，弗莱克斯纳精神聚焦于作为科学的医学的内涵，而当代的重心则转向医学与社会需求之间的联系。回顾弗莱克斯纳报告，我们可以体会它对当代医学教育的引领作用，同时更加清晰地认识到医学教育的未来探索方向。

The Association of Faculties of Medicine of Canada launched the Future of Medical Education in Canada (FMEC) Project in 2007. The FMEC Project's overarching goal was to comprehensively examine the current state of undergraduate medical education， concentrating on its alignment with current and future social needs. Like Flexner's work， the FMEC Project used a process of reflection and renewal; unlike Flexner's work， the FMEC Project used multiple techniques to gather information. The project's final report， The Future of Medical Education in Canada: A Collective Vision， put forth 10 recommendations that summarized priority areas doe academic medicine and medical training in Canada at the start of the 21st century. The current article reviews FME Project recommendations in relation to the priorities set out by Flexner in 1910. While Flexnerian themes tend to center on the notion of medicine as science， present-day priorities converge on the link between academic and societal needs. By looking back on Flexner's work， we can see where his vision has taken us. As well， we see more clearly the new frontiers that academic medicine will continue to explore.