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Medical education: the needed reform | Opinion piece by Professor José Fernandes e Fernandes

By etavares On 30 January, 2014 Editorial Note | 2014 Comments Off on Medical education: the needed reform | Opinion piece by Professor José Fernandes e Fernandes No tags

Professor José Fernandes e Fernandes
Director of the Faculty of Medicine of the University of Lisbon


Medical education: the needed reform 

Training good doctors with a solid scientific education who are able to act in accordance with the state of the art, be involved in innovation, and willing to be part of, and constructively transform public and private health care is a priority objective for the Faculty of Medicine, in line with its mandatory public responsibility.

The organization of medical education in Portugal deserves careful reflection: substantial changes in the evolution of medicine, in the organization and funding of institutions, the emergence of new needs arising from globalization, and the concomitant decrease in available funds pose challenges to the health system, to the training of professionals, and to the educational model. In Portugal, its organization is based on a dual supervision. The teaching is planned by medical schools within universities that depend on the Ministry of Education (ME), which assesses and accredits the quality of the training. However, clinical training, which is crucial, is carried out in hospitals and health centres under the responsibility of the Ministry of Health (MS).

Medical schools recruit and take on professionals with medical careers independent from a university career as teaching agents, and use the respective clinical services, which represents a gain on the practical preparation of future physicians. This sharing of resources is the most visible expression of inter-institutional cooperation and of collaboration between the corresponding ministries.

However, this is not always without difficulties, particularly in a context of restrictive policies in hospital management that tend to look at teaching as a mission extrinsic to its purpose and as an unforeseen financial cost.

Actually, there is no policy for medical education involving all participants and addressing the requisites and needs of medical education, which I find clearly inappropriate at times of development, change and crisis.

There has been an effort to have reciprocity in functional responsibilities and financial burdens between the two careers, and little else; we have never succeeded in attaining operational and strategic convergence regarding the setting of goals and the planning and adaptation of institutions and clinical units to teaching and research. The organizational model of these institutions where clinical education is conducted depends exclusively on the MS, with potentially negative impact on the educational mission, research, recruitment of professionals, and on a comprehensive and restructured evaluation.

Source: Público Newspaper

Read the full opinion piece here.

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Index – News # 39 | jan/fev. 2014
 Medical education: the needed reform | Opinion piece by Professor José Fernandes e Fernandes
 The importance of research
 Cooperation Agreements concluded between the CAML and Cape Verde Hospitals
 Cooperation Projects with Lusophone Africa
 Celebration of “Courage Day” with the participation of Sean Swarner
 Researcher Edgar Gomes honoured by the European Research Council
 Research conducted by Paula Ravasco’s team awarded Sociedade de Ciências Médicas Prize
 Programa Genesis Gilead distingue dois projetos do IMM
 PRÉMIOS PFIZER 2013 – Effective drug against severe general infection
 Francisco Goiana da Silva, the physician selected to participate in the World Economic Forum
 Protocolo celebrado entre a FMUL e a Associação Instituto Piaget de Angola
 Entrevista do Reitor da ULisboa, Prof. Doutor António Cruz Serra, à SIC Notícias
 Coordinators of the Administrative Centres of FMUL – Balance of 3 years of existence
 University of Lisbon in second place in the Ibero-American ranking for scientific output
 Ações de Formação para Pessoal Não-Docente SPUL | 2014
 Research Day – Balance of a very special day
 Structural analysis of the scientic research networks of CAML
 Dia da Investigação – Entrevista ao Presidente do Conselho Científico, Prof. Doutor Rui Victorino
 Experience of the 16th “Education through Science” Programme | Gulbenkian/FMUL Scholarships
 Lecturers’ Participation in Academic Examination Panels in other institutions
 Session on Research Opportunities for Students – Research Day
 Publications of the Cardiology Service
 Publicações Científicas FMUL / HSM / IMM (Janeiro/Fevereiro 2014)
 António Damásio wins psychology international award
 Scientific breakthroughs in 2013 and predictions for 2014
 Movies and Medicine, by Dr. António Pais Lacerda
 Pesquisar Ciência e Saúde
 Gauging Research Day
 AIMS Meeting | 6th and 7th March
 2.º Workshop de Endoscopia | 21 de Março
 APDIS Meeting -“As Bibliotecas da Saúde: que futuro?” | 27th and 28th March
 Simpósio – “Hipertensão arterial e insuficiência cardíaca – Estado da arte em 2014” | 11 de Abril
 Ephemerides | Health
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100 AnosPropriedade e Edição: Faculdade de Medicina da Universidade de Lisboa NIPC: 502662875  Periodicidade: Mensal  Diretor: Prof. Doutor Fausto J. Pinto Conselho Editorial: Prof. Doutor Fausto J. Pinto, Profª. Doutora Ana Sebastião, Prof. Doutor Mamede de Carvalho, Prof. Doutor António Vaz Carneiro, Prof. Doutor Miguel Castanho, Dr. Luís Pereira  Equipa Editorial:  Ana Raquel Moreira, Cristina Bastos, Isabel Varela, Joana Sousa, Maria de Lurdes Barata, Rui Gomes, Sónia Teixeira  Colaboração:  Gabinete de Relações Públicas, Internacionais e Comunicação  Versão Inglesa: AP|PORTUGAL- Language Services  Conceção: Metatexto, Lda. e-mail: news@medicina.ulisboa.pt  Sede do Editor e Sede da Redação: Avenida Prof. Egas Moniz, 1649-028 Lisboa Estatuto Editorial Anotado na ERC 

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