Biz \u00f6\u011frenciyken bir makaleye ula\u015fmak zaman al\u0131rd\u0131. K\u00fct\u00fcphaneye gider, indeks kar\u0131\u015ft\u0131r\u0131r, zaman\u0131m\u0131z\u0131n \u00f6nemli bir k\u0131sm\u0131n\u0131 bilgiye ula\u015fmak i\u00e7in harcard\u0131k.<\/p>\n
Bug\u00fcn internet sayesinde \u00f6\u011frencinin cebinde d\u00fcnya literat\u00fcr\u00fc var. Ayn\u0131 makaleye saniyeler i\u00e7inde ula\u015f\u0131yor.<\/p>\n
Art\u0131k sorun bilgiye ula\u015fmak de\u011fil; o kadar bilginin i\u00e7inden hangisinin ger\u00e7ekten gerekli oldu\u011funu se\u00e7ebilmek.<\/p>\n
Bilimsel olarak do\u011fru olan her bilgi her hastada uygulanmaz. Hekimlik, ezber de\u011fil; her hastada en uygun karar\u0131 verebilme becerisidir. Yeni ku\u015fak sonucu de\u011fil, karar\u0131n arkas\u0131ndaki gerek\u00e7eyi g\u00f6rmek istiyor; yap\u0131lacak olan\u0131 de\u011fil, neden o yolun se\u00e7ildi\u011fini ve ba\u015fka bir se\u00e7enek olup olmad\u0131\u011f\u0131n\u0131 bilmek istiyor.<\/p>\n
Eskiden bilgiye eri\u015fim s\u0131n\u0131rl\u0131yd\u0131. Bu y\u00fczden bilgiyi elinde tutan hoca do\u011fal olarak belirleyiciydi. Bug\u00fcn bilgi herkesin eri\u015fiminde. Art\u0131k hocal\u0131k, bilgiyi aktarmaktan \u00e7ok o bilgiyi do\u011fru yorumlayabilme ve karar\u0131n\u0131n gerek\u00e7esini a\u00e7\u0131k\u00e7a ortaya koyabilme meselesi.<\/p>\n
Bu da bizi do\u011frudan liyakat meselesine getiriyor.<\/p>\n
\u00c7\u00fcnk\u00fc bilgi \u00e7a\u011f\u0131nda unvan tek ba\u015f\u0131na yetmez. Hocay\u0131 farkl\u0131 k\u0131lan, birikimi, deneyimi ve klinik muhakeme g\u00fcc\u00fcd\u00fcr. \u00d6\u011frenci kar\u015f\u0131s\u0131nda ger\u00e7ekten d\u00fc\u015f\u00fcnebilen, tartabilen, karar\u0131n\u0131 temellendirebilen bir e\u011fitici g\u00f6rmek ister. Liyakat yoksa nitelikli e\u011fitim beklemek m\u00fcmk\u00fcn de\u011fildir. Nitelikli hoca, nitelikli hekim yeti\u015ftirir.<\/p>\n
Bu durum hocan\u0131n rol\u00fcn\u00fc k\u00fc\u00e7\u00fcltmedi. Aksine zorla\u015ft\u0131rd\u0131. Art\u0131k sadece anlatmak yetmiyor. Karar\u0131n\u0131 hangi klinik verilere dayand\u0131rd\u0131\u011f\u0131n\u0131, alternatifleri nas\u0131l de\u011ferlendirdi\u011fini ve tercih gerek\u00e7esini a\u00e7\u0131k\u00e7a ortaya koymak gerekiyor. \u00c7\u00fcnk\u00fc klinik muhakeme anlat\u0131larak de\u011fil, modellenerek \u00f6\u011freniliyor.<\/p>\n
Tam da bu nedenle e\u011fitim y\u00f6nteminin kendisi g\u00fcncellenmek zorunda.<\/p>\n
E\u011fitim, yaln\u0131zca dersin tamamlanmas\u0131yla \u00f6l\u00e7\u00fclemez. Esas olan, \u00f6\u011frencinin belirli bir klinik yetkinli\u011fi g\u00fcvenle ve ba\u011f\u0131ms\u0131z bi\u00e7imde yerine getirip getiremedi\u011finin de\u011ferlendirilmesidir. De\u011ferlendirme sistemi, \u201cdersi ald\u0131 m\u0131?\u201d sorusundan \u00e7ok \u201cbu i\u015fi g\u00fcvenle yapabiliyor mu?\u201d sorusuna dayanmal\u0131d\u0131r.<\/p>\n
Sim\u00fclasyon ve beceri laboratuvarlar\u0131 yayg\u0131nla\u015fmal\u0131. \u00d6\u011frenci bir i\u015flemi ilk kez hasta \u00fczerinde denememeli. Bu hem hasta g\u00fcvenli\u011fi hem \u00f6\u011frencinin \u00f6zg\u00fcveni i\u00e7in gereklidir.<\/p>\n
T\u00fcrkiye\u2019nin g\u00fc\u00e7l\u00fc bir taraf\u0131 var: yo\u011fun hasta prati\u011fi. \u00d6\u011frenci ger\u00e7ek vakayla erken kar\u015f\u0131la\u015f\u0131yor. Bu b\u00fcy\u00fck bir avantaj. Ama bu avantaj\u0131n s\u00fcrd\u00fcr\u00fclebilir olmas\u0131 i\u00e7in e\u011fitim ile hizmet aras\u0131ndaki denge do\u011fru kurulmal\u0131.<\/p>\n
Bug\u00fcn performans sistemi hocalar\u0131 i\u015flem say\u0131s\u0131 ve puan \u00fczerinden de\u011ferlendiriyor. E\u011fitimin niteli\u011fi de\u011fil, yap\u0131lan i\u015flem adedi \u00f6l\u00e7\u00fcl\u00fcyor. B\u00f6yle bir zeminde e\u011fitici yava\u015flayamaz, durup tart\u0131\u015famaz, vakay\u0131 \u00f6\u011frenciyle uzun uzun analiz edemez. Oysa iyi e\u011fitim say\u0131 de\u011fil, zaman ve dikkat ister. \u0130\u015flem say\u0131s\u0131yla \u00f6l\u00e7\u00fclen bir sistemde e\u011fitimin geri planda kalmas\u0131 ka\u00e7\u0131n\u0131lmazd\u0131r.<\/p>\n
Poliklinik y\u00fck\u00fc ve puan bask\u0131s\u0131 alt\u0131nda iyi e\u011fitim ile y\u00fcksek performans\u0131 ayn\u0131 anda y\u00fcr\u00fctmek m\u00fcmk\u00fcn de\u011fil. Bu \u00e7eli\u015fki d\u00fczeltilmeden e\u011fitim kalitesi artmaz. Akademik kadronun e\u011fitim i\u00e7in korunan zaman\u0131 olmal\u0131. E\u011fiticilik ger\u00e7ek bir de\u011fer olarak tan\u0131mlanmal\u0131. Aksi halde sistem, iyi hekim yeti\u015ftirmek yerine h\u0131zl\u0131 hizmet \u00fcretmeye y\u00f6nelir.<\/p>\n
Geri bildirim k\u00fclt\u00fcr\u00fc g\u00fc\u00e7lenmeli. Tek bir staj notu yerine, s\u00fcre\u00e7 i\u00e7inde a\u00e7\u0131k ve d\u00fczenli de\u011ferlendirme yap\u0131lmal\u0131. \u00d6\u011frenci nerede g\u00fc\u00e7l\u00fc, nerede eksik oldu\u011funu bilmelidir.<\/p>\n
Bir de ortam meselesi var.<\/p>\n
E\u011fer \u00f6\u011frenci soru sordu\u011funda k\u00fc\u00e7\u00fcmseniyorsa, bir s\u00fcre sonra susar. E\u011fer hata yapt\u0131\u011f\u0131nda a\u015fa\u011f\u0131lan\u0131yorsa, sorumluluk almaktan ka\u00e7\u0131n\u0131r. Oysa hekimlik karar vermeyi ve sorumluluk \u00fcstlenmeyi gerektirir.<\/p>\n
Bu nedenle g\u00fcvenli bir \u00f6\u011frenme ortam\u0131 \u015fartt\u0131r. Hiyerar\u015fi olabilir. Ama sayg\u0131 kar\u015f\u0131l\u0131kl\u0131 olmal\u0131d\u0131r. Korku d\u00fc\u015f\u00fcnceyi daralt\u0131r. G\u00fcven ise geli\u015ftirir.<\/p>\n
\u00c7a\u011f de\u011fi\u015fti.
\nBilgi artt\u0131.
\nSorgulama \u00e7o\u011fald\u0131.<\/p>\n
Ama hekimli\u011fin \u00f6z\u00fc de\u011fi\u015fmedi.<\/p>\n
\u0130nsan\u0131 g\u00f6rmek.
\nSorumluluk almak.
\nDo\u011fruyu aramak.<\/p>\n
Mesele gen\u00e7lerin de\u011fi\u015fmesi de\u011fil.
\nMesele, de\u011fi\u015fen \u00e7a\u011fa uygun, liyakati esas alan ve e\u011fitimi performansa ezdirmeyen bir sistemi kurup kuramad\u0131\u011f\u0131m\u0131zd\u0131r.<\/p>","protected":false},"excerpt":{"rendered":"
Medizin ist kein Auswendiglernen, sondern die F\u00e4higkeit, bei jedem Patienten die am besten geeignete Entscheidung zu treffen.<\/p>","protected":false},"author":23,"featured_media":283055,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[286],"tags":[],"class_list":{"0":"post-283053","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-yazarlar"},"_links":{"self":[{"href":"https:\/\/halkweb.com.tr\/de\/wp-json\/wp\/v2\/posts\/283053","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/halkweb.com.tr\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/halkweb.com.tr\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/halkweb.com.tr\/de\/wp-json\/wp\/v2\/users\/23"}],"replies":[{"embeddable":true,"href":"https:\/\/halkweb.com.tr\/de\/wp-json\/wp\/v2\/comments?post=283053"}],"version-history":[{"count":1,"href":"https:\/\/halkweb.com.tr\/de\/wp-json\/wp\/v2\/posts\/283053\/revisions"}],"predecessor-version":[{"id":283054,"href":"https:\/\/halkweb.com.tr\/de\/wp-json\/wp\/v2\/posts\/283053\/revisions\/283054"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/halkweb.com.tr\/de\/wp-json\/wp\/v2\/media\/283055"}],"wp:attachment":[{"href":"https:\/\/halkweb.com.tr\/de\/wp-json\/wp\/v2\/media?parent=283053"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/halkweb.com.tr\/de\/wp-json\/wp\/v2\/categories?post=283053"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/halkweb.com.tr\/de\/wp-json\/wp\/v2\/tags?post=283053"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}