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  • Healthcare issues across the globe: Part II

    By Aliye Runyan, MD
    AMSA Education and Research Fellow


    Professionalism

    The conversation surrounding professionalism was fascinating and brought to light a huge unmet need in global medical education. The speaker from the World Federation of Medical Education (WFME) spoke about tenets of professionalism: social accountability of the physician, training to take into account needs of the changing face of medicine, adaptability, training students to understand their global responsibility, and of the need for role models for students. Another speaker pointed out threats to professionalism, including commercialization of medicine, the role of pharmaceutical companies and industry, the deteriorating doctor-patient relationship, and that there are MANY medical schools with no formal curriculum on ethics and professionalism. She described attempts at some formalization, but also brought to light the issue that a lot of professionalism standards are from a Western cultural mindset, and do not take into account vastly different cultural standards from Latin America to India (two of the examples she used). She stressed that professionalism attributes must be integrated throughout medical school curricula and not just taught as a standalone course (as many in the US are).

    This brought to mind incredible potential for the IFMSA pre-departure training for clinical exchanges ...

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  • Healthcare issues across the globe: Part I

    By Aliye Runyan, MD
    AMSA Education and Research Fellow

    I recently attended the America's medical education meeting and IFMSA general assembly. There was very interesting and often passionate discussion on the importance of primary care, and how it is practiced in various countries in the Americas. There is consensus that quality of care is important, and that culturally sensitive standards for quality of medical care must be developed. Most agree than universal curricula are not the answer. The point was made that primary care is a critical part of comprehensive health care services, and not an end in itself – there is obvious need for specialists in many cases. The point was made that primary care must be incentivized, respected, and treated with the same standards as any other specialty, as well as taught (and experienced by students) from the first year of medical school. Using evidence based medicine was brought up multiple times – as this may not be the cultural norm.

    Some of the faculty brought up criticisms of the Alma Ata declaration of 1978 (the first international declaration to underline the importance of primary care for all) by stating that it prompted some countries to focus on ...

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