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The question is, why should we aspire for excellence
in HPE? Are the current standards of medical
education not par excellence? What is excellence in
medical education? To understand this, we need to
understand the historical narrative of health
professions education.
Flexner presented a report in 1905 which brought a
1 major change in the delivery of medical education.
Before Flexner, teaching and learning were
de c entra l ized. L e a rning wa s ba s ed on
apprenticeship. Flexner report brought the
centralized system of teaching in universities and
hospitals. It promoted a system which was teacher
centred, emphasized factual knowledge, autonomy
of the disciplines and hospital based teaching. This
approach was challenged, when medical
educationists presented new theories and strategies
of learning. Benjamin Bloom presented the
2 3
taxonomy of cognition and attitude and Dave gave
the taxonomy of psychomotor skills. In early 1986
Harden published the SPICES model of learning
4
strategy which was in total contrast to the teacher
oriented strategy. In the 80's, Burrows presented the
idea of problem based learning.Newer teaching
methods, assessment tools and instruments have
since been devised. Newer curricula have emerged.
Problem based learning, competency based
curriculum, OSCE, OSLER, OSTE, miniCEx , DOPS, CBL,
CBD; the list is very exhaustive.
Rehan Ahmed Khan. (2014) Aspiring for Excellence in Health Professions Education (HPE), , Volume-9, Issue-1.
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