Yazar
Kevser VATANSEVER
Dr., Emekli Hekim(ORCID No: 0000-0002-8943-9874)

Özet

  • Tıp eğitiminin sağlık sisteminin ayrılmaz parçası olduğu sıkça vurgulansa da, eğitimin sağlık hizmetlerindeki krizi çözmedeki güçlü potansiyeli henüz tam anlaşılmamıştır. Yirmibirinci yüzyıldan önce, tıp eğitiminin durumu tartışılırken paydaşların üzerinde en çok uzlaştığı konu tıp eğitiminin kamusal bir hizmet olduğu ve tıp eğitimi kurumlarının topluma karşı yükümlülükleri olduğudur. Ancak günümüzde tıp eğitimi kurumları toplumsal sözleşmeyi unutmuş ve yeni neoliberal sağlık sisteminin gerekliliklerine uyum sağlayabilecek hekim yetiştiren “hastalık sarayları”na dönüşmüştür. Bugüne dek tıp eğitimini geliştirmek için denenen stratejiler pedagojik reform önerileriyle sınırlı kalmış ve ne yazık ki çoğu kalıcı olamamıştır. Tıp eğitiminin içsel sorunlarını çözmeyle sınırlı bu stratejilerin sınırlılığı göz önüne alındığında, asıl çözümün tıp eğitiminin de içinde yer aldığı sağlık sistemi ve politikalarında aranmasının önemi daha çok anlaşılmaktadır. Neoliberal sağlık reformları sonucunda sağlık sistemi üzerinde oluşan baskılar tıp eğitimi krizinin de temel nedenleridir. Ancak, neoliberal sağlık politikalarının yarattığı ortamda tıp eğitiminin yaşadığı krizin çözümü karmaşıktır. Erişilebilir, sefkatli, eşitlikçi ve hakkaniyetli, güvenli ve her hastayla/insanla birlikte yeniden yaratılan ve bakımı odağına alan sağlık hizmetinin desteklendiği bir sağlık sistemini ve tıp eğitimini var edebilmek sadece pedagojik reformlarla değil ulusal politik ve sistemsel reformlarla mümkündür.

Summary

  • Although it is frequently emphasized that medical education is an integral part of the health system, the strong potential of education to solve the crisis in health services is not fully understood. Before the twenty-first century, when discussing the status of medical education, the most agreed issue by all stakeholders was that medical education was a public service, and educational institutions had responsibilities to society. However, today, medical education institutions have forgotten the social contract and transformed into “disease palaces” to train physicians who can adapt to the requirements of new neoliberal health systems. The strategies implemented to improve medical education are limited to pedagogical reforms, and unfortunately most of them were faded in time. Considering the confined structure of these strategies to solving the internal problems, the importance of seeking the real solution in the health systems and policies that medical education reside in can be understood better. The pressures on healthcare services deriving from neoliberal health reforms are also the main reasons for the crisis of medical education. However, solving the crisis of medical education within the context of neoliberal health policies is complex. Creating a healthcare system and medical education that are accessible, compassionate, equal and equitable, safe, and supporting a care-based health services approach that is created with each individual/patient can be achieved not only by pedagogical reforms but also with national political and systemic reforms.

Anahtar Sözcükler / Keywords

  • TR: Tıp eğitimi, tıp eğitimi reformları, sağlık sistemi, sağlık politikası
    EN: Medical education, medical education reforms, health system, health policy

Kaynaklar / References

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Geliş Tarihi / Received Date

  • 02.02.2025

Kabul Tarihi / Accepted Date

  • 26.02.2025