当前,全世界的医学院校正在进行课程改革,从总体上说,这类改革都是在这样的背景下产生的,即未来的医生应能作出合理的、以证据为基础的、注重费用-效果的医疗决策。当代的卫生保健系统需要一大批技术熟练的具有创新意识的医生,以满足技术熟练、组织良好的以消费者定向的卫生保健系统的需要。尽管大多数医学院校都重视社区保健,注意到缺医人群的卫生保健,但是,各医学院校在制定教育目标时却极少反映人们 At present, medical schools around the world are undergoing curriculum reforms. Generally speaking, such reforms have emerged from the background that doctors in the future should be able to make reasonable, evidence-based, and cost- Medical decision making. Contemporary healthcare systems require a large number of skilled and innovative physicians to meet the needs of a skilled, well-organized, consumer-oriented healthcare system. Although most medical schools pay attention to community health care and pay attention to the health care of the underserved population, various medical schools rarely reflect people when formulating educational goals.