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Educação médica e profissionalismo

Martins e Silva, João
Fonte: Ordem dos Médicos Publicador: Ordem dos Médicos
Tipo: Artigo de Revista Científica
Publicado em //2013 POR
Relevância na Pesquisa
26.68%
Copyright © Ordem dos Médicos 2013; É analisada, sucintamente, a evolução que os objectivos, estratégias e modelos de formação médica têm tido deste a apresentação e subsequente aplicação do célebre modelo de Abraham Flexner, faz agora 103 anos. Ainda que globalmente aceite nos seus princípios e instrumentos pedagógicos originais, aquele modelo não tem evitado uma continuada insatisfação junto da comunidade médica e alunos, a que acrescem, mais acentuadamente nas últimas décadas, as exigências em cuidados de saúde mais eficientes por parte da sociedade, em geral, e dos doentes em particular. Em resposta a estes desideratos, a comunidade médica sentiu que era indispensável rever os critérios tradicionais do profissionalismo médico, adequando-os a um novo paradigma de sociedade e a um adequado e mais eficiente modelo de formação médica. Nesse propósito, são analisadas estratégias e metodologias, entretanto propostas, aparentemente mais adequadas à inclusão dos princípios e responsabilidades do profissionalismo médico desde o período inicial do ensino médico pré-graduado. Admite-se que a ênfase no ensino e na prática da reflexão ao logo do curso terão repercussões positivas e duradouras durante a vida profissional activa. Todavia...

O relatório Flexner: para o bem e para o mal

Pagliosa,Fernando Luiz; Da Ros,Marco Aurélio
Fonte: Associação Brasileira de Educação Médica Publicador: Associação Brasileira de Educação Médica
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2008 PT
Relevância na Pesquisa
36.72%
Às vésperas de completar cem anos de publicação, o Relatório Flexner e a figura de seu autor são, até hoje, foco de debates e polêmica. Neste artigo, discutem-se os aportes de Abraham Flexner para a educação médica a partir da publicação de seu relatório, em 1910. Apresenta-se uma breve biografia de Flexner. Os autores analisam a importância e as principais críticas e limitações do modelo flexneriano de educação médica. Partem de uma contextualização do estado da arte da educação médica à época da publicação do relatório, chegando aos tempos atuais. Discutem a construção de um modelo contemporâneo de educação médica, considerando as críticas históricas ao modelo de formação de médicos, as atuais necessidades sociais de saúde, os novos conhecimentos sobre como aprendemos e suas repercussões para o processo de ensino-aprendizagem e as diretrizes nacionais para a graduação em Medicina.

Desafios da educação médica e da investigação em saúde no contexto de angola

Ferreira,Albano V. L.; Fresta,Mário; Simões,Cristóvão F. C.; Sambo,Maria do Rosário B.
Fonte: Associação Brasileira de Educação Médica Publicador: Associação Brasileira de Educação Médica
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2014 PT
Relevância na Pesquisa
26.22%
Os apelos para reformas na educação médica são constantes e têm sido objeto de recomendações produzidas nos últimos cem anos, destacando-se as resultantes da avaliação crítica feita por Abraham Flexner, em 1910, nos Estados Unidos da América. No presente trabalho, abordam-se as tendências e os desafios atuais da educação médica e da investigação em saúde, com ênfase para os países em desenvolvimento, ressaltando-se a realidade africana. Com base na bibliografia consultada, apontam-se e discutem-se alguns desafios que se colocam ao binômio educação médica/investigação em saúde em Angola, muito em especial no contexto da II Região Acadêmica, que integra as províncias de Benguela e Kwanza Sul, destacando-se: (i) a necessidade de incorporar novas abordagens curriculares para o reforço da aprendizagem ao longo da vida; (ii) a aquisição e o desenvolvimento de competências de investigação científica orientadas para a caracterização e intervenção sobre a situação de saúde local; (iii) a inovação dos métodos de ensino e a incorporação de novas tecnologias na educação e prática médica; (iv) a contribuição para o reforço e melhoria da distribuição de médicos na região.

Reconhecer Flexner: inquérito sobre produção de mitos na educação médica no Brasil contemporâneo

Almeida Filho,Naomar de
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2010 PT
Relevância na Pesquisa
36.64%
No Brasil, não parece haver dúvidas sobre os males causados por Abraham Flexner, seu Relatório e o Modelo Biomédico Flexneriano (MBF), concebido e promovido por fundações privadas, vinculadas ao complexo médico-industrial norte-americano. Neste artigo, proponho submeter essa formulação a um rigoroso inquérito crítico. Primeiro, apresento uma súmula de vida e obra de Flexner. Segundo, reviso as formas de representação de seu pensamento na literatura brasileira sobre educação em saúde. Com base no próprio Relatório, verifico inconsistências, contradições e omissões nos fragmentos referenciadores do MBF. Finalmente, contrastando fonte historiográfica e representação imaginária, analiso possibilidades de interpretação do MBF como intrigante e peculiar mitologia política.

Abraham Flexner as critic of British and Continental medical education.

Bonner, T N
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /10/1989 EN
Relevância na Pesquisa
26.22%

Jacob: The Other Flexner

Griffen, Ward O.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /06/2004 EN
Relevância na Pesquisa
26.49%
Jacob Flexner, the elder of his better-known siblings, Simon and Abraham, provided critical support and guidance to his brothers, paving the way for their subsequent successes.

After Flexner: the challenge.

Moseley, Kathryn L.
Fonte: National Medical Association Publicador: National Medical Association
Tipo: Artigo de Revista Científica
Publicado em /09/2006 EN
Relevância na Pesquisa
36.64%
In his article, "Abraham Flexner and the Black Medical Schools," Todd Savitt, MD critically describes how the Flexner Report effectively decimated African-American medical education as it existed at the beginning of the 20th century. We are now in the 21st century, and there are still few black physicians and medical students.

A century after Flexner: the need for reform in medical education from college and medical school through residency training.

Hoover, Eddie L.
Fonte: National Medical Association Publicador: National Medical Association
Tipo: Artigo de Revista Científica
Publicado em /09/2005 EN
Relevância na Pesquisa
36.49%
The last major change in medical education occurred almost 100 years ago following an independent investigation conducted by Dr. Abraham Flexner in 1910. Although individual institutions have implemented drastic changes in their own curriculum and the accrediting agencies have mandated other initiatives intended to maintain medical education at the cutting edge of science and technology, many facets of medical education, from the premedical requirements through medical school and residency training, have not changed in nearly half a century. There are areas that are completely lacking in the process of training physicians, and perhaps the assumption was that physicians were intelligent enough to figure this out on their own. While that may have been true in the past when things were less complicated, this approach offers too many opportunities for misadventure, ultimately to the detriment of physicians and patients. Perhaps what is needed is a more rigorous, didactic training program and more thought put into areas where judgment, morality and ethics converge to create potential hazards that can defeat the finest training, equipment and intent. Although American residency programs produce physicians fully capable of independent practice after their prescribed periods of training...

Abraham Flexner and the Development of the Yale School of Medicine

Prutkin, Jordan M.
Fonte: YJBM Publicador: YJBM
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.91%
Abraham Flexner first toured the Yale University School of Medicine in preparation for his report of 1910, but it was just the beginning of his relationship with the school. While his review of Yale in his report was generally favorable, he mentioned several shortfalls that needed to be improved to make the school acceptable. Throughout the next twenty-five years, Flexner worked with Deans George Blumer and Milton C. Winternitz to improve the school’s finances, infrastructure, and quality of education through his work with the Carnegie Foundation and General Education Board. Flexner has been given great accolades for his work on medical education for the country, but little mention is made of him at Yale, even though he was one of the most influential figures in the development of Yale in the last century.

Science in the Service of Patients: Lessons from the Past in the Moral Battle for the Future of Medical Education

Weisberg, Daniel F.
Fonte: YJBM Publicador: YJBM
Tipo: Artigo de Revista Científica
Publicado em 05/03/2014 EN
Relevância na Pesquisa
26.49%
Medical schools instill a classic moral standoff in which the responsibility for the betterment of the patient stands at odds with the responsibility for the betterment of society. In critical ways, the latter, in the form of a robust research and technology-driven enterprise, has taken precedence over the former, resulting in harm to patients and individual dignity. This tradeoff can be traced to Abraham Flexner, the father of American medical education. In the wake of the Flexner report, American medicine set out on a course of exponential scientific advancement, but the mistreatment of research subjects and the erosion of the doctor-patient relationship in a health care system that is increasingly unaffordable, complex, and impersonal suggest that such progress has come at a price. Recent efforts by medical schools to emphasize humanism in their curricula and admissions processes have shown promise in orienting the values of academic medicine toward the individual patient’s well-being.

The Gary schools. Epilogue [The Gary schools, a general account]

Fonte: MIT Press Publicador: MIT Press
Formato: lxvii, 323 p.; 33237405 bytes; application/pdf
EN_US; ENG
Relevância na Pesquisa
36.68%
by Abraham Flexner and Frank P. Bachman. Introduced and annotated by Adeline and Murray Levine.; The two books included were originally published in 1916 and 1918 respectively.; Includes bibliographies.

George Hoyt Whipple, Abraham Flexner & Donald Anderson

Fonte: Linn, photographer Publicador: Linn, photographer
Tipo: Imagem
ENG
Relevância na Pesquisa
46.68%
An informally posed photograph of George Hoyt Whipple, Abraham Flexner, and Donald Grigg Anderson, who succeeded Whipple as dean in 1953.

Abraham Flexner

Fonte: Universidade de Rochester Publicador: Universidade de Rochester
Tipo: Imagem
ENG
Relevância na Pesquisa
46.68%
An informal portrait of Abraham Flexner seated at an office desk. The photograph was taken some time in the late 1920s or early 1930s.

Medical Education and Professionalism; Educação Médica e Profissionalismo

Martins e Silva, João; Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.* Sociedade Portuguesa de Educação Médica. Lisboa. Portugal.* * Aposentado. São indicadas as principais entidades onde o autor desenvolveu a sua actividade.
Fonte: Ordem dos Médicos Publicador: Ordem dos Médicos
Tipo: info:eu-repo/semantics/article; review; info:eu-repo/semantics/publishedVersion Formato: application/pdf
Publicado em 30/08/2013 POR
Relevância na Pesquisa
26.68%
Is briefly analyzed the evolution that the objectives, strategies and models of medical education have had since their presentation and subsequent implementation of the famous model of Abraham Flexner, is now 103 years. Although globally accepted in their original pedagogical principles and instruments, that model does not have avoided the continuing dissatisfaction by the medical community and students and, most markedly in recent decades, the demanding of a most efficient health care by society, in general, and by patients in particular. In response to these ambitions, the medical community felt that it was essential to review the traditional criteria of medical professionalism, adapting them to a new paradigm of society and an appropriate and more efficient model of medical education. In this respect, are analyzed strategies and methodologies, apparently more suitable proposals for the inclusion of the principles and responsibilities of medical professionalism since the early period of pre-graduated medical education. It is assumed that the emphasis in teaching and practice of reflection throughout the course will have positive and lasting repercussions during active working life. However, the author believes that the success of the measures to be introduced in medical education programs to a new model of professionalism continues to depend...

Colombian Medical Education System: A Hundred Years Behind; El Sistema de Educación Médica en Colombia: cien años de atraso

Argüello Ospina, Arturo; Sandoval García, Carolina
Fonte: Universidade do Rosário Publicador: Universidade do Rosário
Tipo: Artigo de Revista Científica Formato: application/pdf
Publicado em 18/05/2010 SPA
Relevância na Pesquisa
47.23%
Almost one hundred years ago the Carnegie Foundation for the Advancement of Teaching authorized a study and report about the medical education of the United States and Canada directed by Mr. Abraham Flexner an education expert of the time. This report turned out to be one of the most important documents of the medical education revolution that took place by that time in North America and that led it to become what it is today. Almost a century after that, Colombian medical education has reached an outstanding similarity to the system described in the Flexner report. The present article highlights the parallel between North America’s medical education situation a hundred years ago and Colombia’s actual medical education situation. We present here some notions about the actual education system based on what was described on 1910 and which we consider, constitutes the current medical education situation on our country and possibly on many Latin American countries.; Hace casi 100 años, la Carnegie Foundation para el avance de la enseñanza le encargó a Abraham Flexner, experto en educación, realizar un estudio sobre la situación de la educación médica en Estados Unidos y Canadá. Este estudio resultó ser uno de los documentos más influyentes en la revolución de la educación médica de Norteamérica...

Abe Flexner, Where Are You? We Need You!

Arky, Ronald A.
Fonte: American Clinical and Climatological Association Publicador: American Clinical and Climatological Association
Tipo: Artigo de Revista Científica
Publicado em //2007 EN
Relevância na Pesquisa
36.72%
It is just a century since Abraham Flexner was invited by the Carnegie Foundation to evaluate medical education in the U.S. and Canada. After a visit to all of the existing medical schools at that time, Flexner issued a report in 1910 that revolutionized American and Canadian medical schools. The demise of proprietary schools, the solidification of ties between medical schools and universities and the introduction of the laboratory into the curriculum were outcomes that inaugurated the Flexnerian era in medical education. American and Canadian schools became the world's leaders. The educational patterns that emanated from the report dominated medical school curricula for the remainder of the 20th century. But as science and medicine changed drastically during the past 50 years, medical education has floundered and changed little. Although the environs of clinical education (hospitals and clinics) are dramatically different than 50 years ago, the process of clinical training has barely changed. That education is a science has yet to be fully acknowledged by medicine—witness the lack of continuity of undergraduate, post-graduate and continuing education. Medical education remains an ‘orphan’ supported by clinical practice and research in the same fashion that medical educators are ‘orphans’ in the academic promotions process. There is need for a modern day Abe Flexner—someone to pull the disparate parts together...

Abraham Flexner and the development of the Yale School of Medicine.

Prutkin, J. M.
Fonte: Yale Journal of Biology and Medicine Publicador: Yale Journal of Biology and Medicine
Tipo: Artigo de Revista Científica
Publicado em //1999 EN
Relevância na Pesquisa
46.91%
Abraham Flexner first toured the Yale University School of Medicine in preparation for his report of 1910, but it was just the beginning of his relationship with the school. While his review of Yale in his report was generally favorable, he mentioned several shortfalls that needed to be improved to make the school acceptable. Throughout the next twenty-five years, Flexner worked with Deans George Blumer and Milton C. Winternitz to improve the school's finances, infrastructure, and quality of education through his work with the Carnegie Foundation and General Education Board Flexner has been given great accolades for his work on medical education for the country, but little mention is made of him at Yale, even though he was one of the most influential figures in the development of Yale in the last century.

Abraham Flexner and the black medical schools. 1992.

Savitt, Todd
Fonte: National Medical Association Publicador: National Medical Association
Tipo: Artigo de Revista Científica
Publicado em /09/2006 EN
Relevância na Pesquisa
46.82%
"Abraham Flexner and the Black Medical Schools" first appeared in Beyond Flexner: Medical Education in the Twentieth Century, Barbara Barzansky and Norman Gevitz, eds. Copyright 1992 by Barbara Barzansky and Norman Gevitz. Reproduced with permission of Greenwood Publishing Group Inc., Westport, CT. The article will be reprinted in a collection of the author's writings on African-American medical history called Race and Medicine in Nineteenth- and Early-Twentieth-Century America, to be published in December 2006 by Kent State University Press and published here with permission of the Kent State University Press.

The Flexner Report of 1910 and Its Impact on Complementary and Alternative Medicine and Psychiatry in North America in the 20th Century

Stahnisch, Frank W.; Verhoef, Marja
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.64%
America experienced a genuinely vast development of biomedical science in the early decades of the twentieth century, which in turn impacted the community of academic psychiatry and changed the way in which clinical and basic research approaches in psychiatry were conceptualized. This development was largely based on the restructuring of research universities in both of the USA and Canada following the influential report of Johns Hopkins-trained science administrator and politician Abraham Flexner (1866–1959). Flexner's report written in commission for the Carnegie Foundation for the Advancement of Teaching in Washington, DC, also had a major influence on complementary and alternative medicine (CAM) in psychiatry throughout the 20th century. This paper explores the lasting impact of Flexner's research published on modern medicine and particularly on what he interpreted as the various forms of health care and psychiatric treatment that appeared to compete with the paradigm of biomedicine. We will particularly draw attention to the serious effects of the closing of so many CAM-oriented hospitals, colleges, and medical teaching programs following to the publication of the Flexner Report in 1910.

Reconhecer Flexner: inquérito sobre produção de mitos na educação médica no Brasil contemporâneo

Almeida Filho,Naomar de
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2010 PT
Relevância na Pesquisa
36.64%
No Brasil, não parece haver dúvidas sobre os males causados por Abraham Flexner, seu Relatório e o Modelo Biomédico Flexneriano (MBF), concebido e promovido por fundações privadas, vinculadas ao complexo médico-industrial norte-americano. Neste artigo, proponho submeter essa formulação a um rigoroso inquérito crítico. Primeiro, apresento uma súmula de vida e obra de Flexner. Segundo, reviso as formas de representação de seu pensamento na literatura brasileira sobre educação em saúde. Com base no próprio Relatório, verifico inconsistências, contradições e omissões nos fragmentos referenciadores do MBF. Finalmente, contrastando fonte historiográfica e representação imaginária, analiso possibilidades de interpretação do MBF como intrigante e peculiar mitologia política.