Driving forces of biomedical science education and research in state-of-the arts Academic Medical Centres: the United States as example

Abstract

Background: Basic science departments in academic medical centres are influenced by changes that are commonly directed at medical education and financial gain. Some of such changes may have been detrimental to or may have enhanced basic science education. They may have determined basic science research focus or basic science research methods. However, there is lack of research on the educational process in the basic sciences including training of PhD’s while there is ample research on medical education pertaining to training of medical doctors.

Methods: The author here identifies, from university websites and available literature, some forces that have driven teaching and research focus and methods in state-of-the-arts academic medical centres in recent times with a view of seeing through their possible influences on basic science education and research, using the United States of America as an example.

Results: The “forces” are: Changes in medical schools; Medical educational philosophies: problem based learning, evidence based medicine, cyberlearning and self-directed learning; Shifting impressions of the value of basic sciences in medical schools; Research trends in Basic Sciences: role of antivivisectionists, alternative experimentations, explosion of molecular and cell biology; Technological advancements; Commercialization of research; and Funding agencies.

Conclusion: The author encourages African leaders in academia to pay attention to such forces as the leadership seeks to raise African Universities as centres of knowledge that have a major role in acquiring, preserving, imparting, and utilizing knowledge.

Keywords: Biomedical science, basic medical science, biomedical research, basic medical science education

Résumé
Les départements des sciences fondamentales dans les centres académiques médicaux sont influences par les changements qui sont communément dirigés vers l’éducation médicale et le gain financier. Quelques de ces changements peuvent être détrimentaux ou améliorer l’éducation des sciences fondamentales. Elles peuvent avoir déterminés la recherche sur la science fondamentale ou sur la méthodologie en science fondamentale. Cependant, il y a un manque de recherche sur les processus éducationnels dans les sciences fondamentales inclus la formation des doctorants, bien qu’il y a d’ample recherché en éducation médicale liés à la formation des médecins. Cette étude identifie des sites internet universitaires et des littératures, quelques forces pouvant aider à l’enseignement et la recherche focalisée et sur les méthodes de l’art dans les centres médicaux académiques contemporains ayant pour objectif de voir l’influence sur l’éducation des sciences fondamentales et la recherche utilisant les états Unis d’Amérique comme un exemple. Les forces sont: les changements dans les institutions médicales, les philosophies médicales éducationnelles, Apprentissage à partir d’un problème et la médecine par évidence, Apprentissage à l’internet et apprentissage personnel; les impressions variées de la valeur des sciences de fondamentales en Médecine;les recherches courantes en sciences fondamentales, le rôle des antivivisectionnistes, expérimentations, explosion de la biologie moléculaire et de la biologie cellulaire; les avancées technologiques; la commercialisation de la recherche; et les institutions de financements. L’auteur encourage les leaders Africains en académie de revoir ses forces afin d’augmenter les performances dans les universités africaines comme des centres d’acquisition, préservation, de partage et d’utilisation des connaissances.

Correspondence: Dr. T.A. John, Department of Pharmacology, Lagos State University College of Medicine, PMB 21266, Ikeja, Lagos, Nigeria. E-mail: theresaadebola@yahoo.com

pdf (Englisch)

Literaturhinweise

Aron DC, Aucott JN and Papp KK. Teaching awards and reduced departmental longevity: Kiss of death or kiss goodbye. What happens to excellent clinical teachers in a research intensive medical school? Med. Educ. Online 2000; 5: 3.

Zinner DE and Campbell EG. Life-science research within US academic medical centers. [Journal Article, Research Support, N.I.H., Extramural] JAMA 2009 Sep 2; 302(9):969-976.

Roush W. Biology departments restructure. Science 1997; 275: 1556-1560.

Metzger N and Zare RN. Interdisciplinary research: from belief to reality. Science 1999; 283: 642.

Williams N. Biologists cut reductionist approach down to size. Science Magazine 1995; 277(5325): 476.

Mallon WT, Biebuyck JF and Jones RF. The reorganization of basic science departments in U.S. medical schools, 1980-1999. [Journal Article] Acad Med 2003 Mar; 78(3):302-306.

Ayanian JZ, Cassell EJ, Altman D, Cohen J, Arnstein SR and Haspel LU. The prospect of sweeping reform in graduate medical education. Milbank Quarterly, 1994 Winter; 72 (4): 705-733.

Krol D. The numerology of graduate medical education reform. JAMA 1994; 271(17): 1369-1370.

Dimitroff A and Davis WK. Content analysis of research in undergraduate medical education. Academic Medicine 1996; 71 (1); 60-67.

Derossis AM, DaRosa DA, Dutta S and Dunmngton GL. A ten-year analysis of surgical education research. The American J. of Surgery 2000; 180: 59-61.

Prystowsky JB and Bordage G. An outcome research perspective on medical education: the predominance of trainee assessment and satisfaction. Med. Educ. 2001; 35: 331-336.

Smith JJ, Koethe SM and Forster HV. A new Ph.D. training track: a proposal to improve basic science teaching. Am. J. Physiol. 1997; 272(6Pt3): S36-46.

Hutchinson RA. A response to Dr. Wolfs presentation: “Coordinating and optimizing educational efforts between basic science and clinical faculty: Pharmacology”. Am. J. Pharm. Educ. 1975; 39(5): 584-585.

Weiner M and Walker JK. Utilization of basic and clinical health science personnel in a team approach for the achievement of competency in therapeutics. Med. Educ. 1977; 11(2): 114-118.

Flexner A. Medical education in the United States and Canada. A Report to the Carnegie Foundation for the advancement of teaching. Bulletin No. 4. Boston, Massachusetts, Updyke, 1910.

Barzansky B. The growth and divergence of the basic sciences. In: Beyond Flexner. Medical education in the twentieth century. B. Barzansky, N. Gevitz, (eds), Chapter 2, New York, Greenwood Press, 1992.

Mandel HG. The National Caucus of Basic Biomedical Science Chairs: Downsizing of Basic Science Departments in U. S. medical schools: Perceptions of their chairs. Acad. Med. 1997; 72(10): 894-900.

Fang D and Meyer RE. PhD faculty in clinical departments of U.S. medical schools, 1981-1999: their widening presence and roles in research. Acad Med 2003; 78(2):167-176.

John TA. Is holistic pharmacology disappearing from North American doctoral programs in pharmacology? Master’s in Health Professions Education Thesis, University of Illinois at Chicago. 2003.

Dewey J. The quest for certainty. Minton, New York, 1929.

Bruner JS. Toward a theory of instruction. Cambridge, Massachusetts, Harvard University Press, 1971.

Knowles ME. The Modern Practice of Adult Education, Cambridge, Prentice Hall, 1980; 57-58

Kolb DA. Experimental learning. Englewood Cliffs, NJ, Prentice-Hall, 1984.

Camp G. Problem-based learning: a paradigm shift or a passing fad? Med. Educ. Online 1996; 1: 2.

Marks J. Definition of problem based learning <http://www.imsa.edu/team/cpbl/cpbl.html>. Accessed 1/5/02. Illinois Mathematics and Science Academy Centre for Problem-based learning, Aurora, IL, 1998.

Nisbet J and Shucksmith J. The seventh sense: reflections on learning to learn. Edingburgh, Scottish Council for Research in Education, 1984.

Schmidt HG. Foundations of problem-based learning: Some explanatory notes. Medical Education 1993; 27: 422-432.

Polyzois I, Claffey N and Mattheos N. Problem-based learning in academic health education. A systematic literature review. Eur J Dent Educ. 2010 Feb;14(1):55-64.

Norman GR and Schmidt HG. The psychological basis of problem-based learning: A review of the evidence. Academic Medicine 1992; 67 (9); 557-565.

Albanese MA and Mitchell S. Problem-based learning: A review of literature on its outcomes and implementation issues. Academic Medicine 1993; 68 (1): 52-58.

Antepohl W and Herzig S. Problem-based learning versus lecture-based learning in a course of basic pharmacology: a controlled, randomized study. Med. Educ. 1999; 33: 106-113.

Norman GR and Schmidt HG. Effectiveness of problem-based learning curricula: theory, practice and paper darts. Med. Educ. 2000; 34: 721-728.

Muller S. Physicians for the twenty-first century: Report of the Project Panel on the general professional education of the physician and college preparation for medicine. Part 2. J. Med. Educ. 1984; 59: (11Pt 2): 1-208.

Walton HJ and Mathews MB. Essentials of problem based learning. Med. Educ. 1989; 23: 542-558.

Rosenberg W and Donald A. Evidence based medicine: an approach to clinical problem solving. BJM 1995; 310 (6987): 1122-1126.

Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB and Richardson WS. Evidence based medicine: what it is and what it isn’t. BMJ 1996; 312: 71-72.

Cox C. Information on evidence based medicine <http://www.herts.ac.uk/lis/subjects/health/ebm.htm> accessed 5/1/02. Learning and Information Services, University of Hertfordshire, Herts, UK, 2002.

Eysenbach G, Sa ER and Blepgen TL. The impact of informatics: Shopping around the internet today and tomorrow: towards the millennium of cybermedicine. BJM 1999; 319: 1-4.

Delamothe T, Smith R, Keller MA, Sack J, Witscher B. Netprints: the next phase in the evolution of biomedical publishing. BMJ 1999; 319: 1515.

Essex DL and Sorlie WE. Effectiveness of instructional computers in teaching basic medical sciences. Med. Educ. 1979; 13(3): 189-193.

Benowitz S. Computers add new twist to medical education. The Scientist 1997; 11(5): 1,4.

Honigman RD. University Secrets: Your Guide to Surviving a College Education. Chapter 13: Research is preferred over teaching. < http://universitv secrets.com/index.html > 1997 accessed 5/29/2002. Robert D. Honigman, April 25th, 2001.

Spilman EL and Spilman HW. A pair comparison study of the relevance of nine basic science courses. J. Med. Educ. 1975; 50(7): 667-671.

Bunk S. Dollars for your thought. The Scientist 2002; 16(7): 19.

Service RF. Berkeley puts all its eggs in two baskets. Science 1999; 286: 226-227.

Matfield M. Animal experimentation: the continuing debate. Nature Reviews. Drug Discovery 2002; 149-152.

Koenig R. European researchers grapple with animal rights. Science 1999; 284: 1604-1606.

DeFranscesco L. Today’s Lab. The Scientist 2002; 16(5): 14-16.

Astbury WT. Molecular biology or ultrastructural biology? Nature 1961; 190: 1124.

Jamieson S. Cell and molecular biology in the medical curriculum. Med. Educ. 2001; 35: 83-87.

Jeffrey SS, Fero MJ, Borresen-Dale A-L and Botstein D. Expression array technology in the diagnosis and treatment of breast cancer. Molecular Interventions 2002; 2(2): 101-109.

Hall ZW and Scott C. University-industry partnership. Science 2001; 291: 553.

Pisano JM. The core of DNA sequencing. The Scientist 2002; 16(6): 41-43.

Constans A. Chemiluminescent collaboration. The Scientist 2002; 16(5): 42.

Fitgerald DA. Bridging the gap with bioelectronics. The Scientist 2002; 16(6): 38-40.

Silverstein SC. What’s needed now. The Scientist 2001; 15(13): 43.

Market Research Company. http://www. marketresearch.com/publisher/893.html Published February 1st 2001 accessed January 15th 2010

Marshall E. Rockefeller’s star lured to San Diego Company. Science 2001; 294: 2083-2085.

Kurland CG. Beating scientists into plowshares. Science 1997; 276: 761.

John TA. Biomedical science technical staff in Lagos public universities: meeting modern standards in biomedical research. Nig. J. Health and Biomedical Sciences.2009; 8(2): 44-49.

John TA. Facilities available for biomedical science research in the public universities in Lagos, Nigeria. Nig. Postgraduate Medical Journal, 2010; 17(1): 6-14.