A critical review of representation in the development of global oncology curricula and the influence of neocolonialism
| Autor: | Janneke M. Frambach, Rouhi Fazelad, Maria Athina Martimianakis, Janet Papadakos, Michaela Broadhurst, Erik W. Driessen, Meredith Giuliani |
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| Rok vydání: | 2020 |
| Předmět: |
Oncology
medicine.medical_specialty PROFESSIONALS Global health lcsh:Medicine Global oncology curricula Harmonization Colonialism Discourse CORE CURRICULUM Medical Oncology RECOMMENDATIONS Patient care Education 03 medical and health sciences 0302 clinical medicine Neocolonialism Internal medicine Political science MEDICAL-EDUCATION Controlled vocabulary medicine Humans 030212 general & internal medicine Postcolonial Curriculum Quality of Health Care lcsh:LC8-6691 Medical education lcsh:Special aspects of education Task force lcsh:R Multitude General Medicine Europe 030220 oncology & carcinogenesis North America RADIATION ONCOLOGY ACCESS Research Article |
| Zdroj: | BMC Medical Education, Vol 20, Iss 1, Pp 1-9 (2020) BMC Medical Education |
| ISSN: | 1472-6920 |
| DOI: | 10.1186/s12909-020-1989-9 |
| Popis: | Background Global curricular homogenization is purported to have a multitude of benefits. However, homogenization, as typically practiced has been found to promote largely Western ideals. The purpose of this study was to explore the issue of representation in the development of global oncology curricula. Methods This systematic review of global oncology curricula involved a comprehensive search strategy of eight databases from inception to December 2018. Where available, both controlled vocabulary terms and text words were used. Two investigators independently reviewed the publications for eligibility. Full global/core oncology curricular documents were included. Data analysis included exploration of representation across a number of axes of power including sex and geographic sector, consistent with a neocolonial approach. Results 32,835 documents were identified in the search and 17 remained following application of the inclusion/exclusion criteria. Eleven of 17 papers were published from 2010 to 2018 and 13 curricula originated from Europe. The 17 curricula had 300 authors; 207 were male and most were from Europe (n = 190; 64%) or North America (n = 73; 24%). The most common curricular purposes were promoting quality patient care (n = 11), harmonization of training standards (n = 10), and facilitating physician mobility (n = 3). The methods for creation of these curricula were most commonly a committee or task force (n = 10). Over time there was an increase in the proportion of female authors and the number of countries represented in the authorship. Conclusion Existing global oncology curricula are heavily influenced by Western male authors and as a result may not incorporate relevant socio-cultural perspectives impacting care in diverse geographic settings. |
| Databáze: | OpenAIRE |
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