What is medical education?
Medical education is the education concerned with the practice of becoming a medical professional; it encompasses the initial training required to become a doctor (i.e., medical school and internship) as well as subsequent additional training (such as residency, fellowships, and continuing medical education).
Medical education and training vary significantly across the globe. Various teaching methods have been employed in medical education, which constitutes an active field of educational research.
Medical education—at all levels, including entry-level, postgraduate, and continuing medical education—also serves as an academic discipline dedicated to the education of medical doctors. Before advancing through the various stages of medical education, it is mandatory to fulfill certain specific requirements, such as demonstrating "Entrust able Professional Activities."
General Techniques and Evidence Base
In medical education, teaching principles are applied specifically within the context of medical training. Medical education has been a pioneer in the field of evidence-based education; this distinction is attributed to the development of evidence syntheses—such as "Best Evidence Medical Education," formulated in 1999—which aimed to "shift from opinion-based education toward evidence-based education." Common evidence-based techniques include the "Objective Structured Clinical Examination" (OSCE) for assessing clinical skills, and reliable, checklist-based assessments designed to evaluate the development of "soft skills"—such as professionalism. However, some ineffective teaching methodologies still persist in medical education, such as tailoring instruction to individual learning styles and Edgar Dale's "Cone of Learning."
Entry-level medical education programs
Entry-level medical education programs are tertiary-level courses conducted within medical schools. Depending on the jurisdiction and the university, these may be either undergraduate-entry (primarily in Europe, Asia, South America, and Oceania) or graduate-entry programs (primarily in Australia, the Philippines, and North America). Some jurisdictions and universities offer both types of programs—undergraduate-entry and graduate-entry—(such as Australia and South Korea).
Typically, initial training is provided within the medical school itself. Traditionally, entry-level medical education is divided into pre-clinical and clinical studies. The former encompasses basic sciences, such as anatomy, physiology, biochemistry, pharmacology, pathology, and microbiology. The latter involves the study of various fields of clinical medicine, including internal medicine, pediatrics, obstetrics and gynecology, psychiatry, general practice, and surgery. In recent times, significant efforts have been made in the United States to incorporate Health Systems Science as a "third pillar" of medical education, taught alongside pre-clinical and clinical studies. HSS provides a foundational platform and framework for understanding and learning how patient care is delivered, how health professionals collaborate to provide that care, and how health systems can be improved to enhance patient care and health services.
The Liaison Committee on Medical Education (LCME) is the accrediting body for medical schools granting MD degrees in the United States and Canada. To maintain accreditation, medical schools must ensure that students meet a specific set of standards and competencies established by the accrediting committees. "Functions and Structure of a Medical School" is a document published annually by the LCME that defines 12 standards for accreditation.
The Association of American Medical Colleges (AAMC) has recommended thirteen "Entrust able Professional Activities" (EPAs) that medical students are expected to master before beginning a residency program. EPAs are based on integrated core competencies developed during medical school training. Each EPA outlines its key characteristics, associated competencies, and a list of observable behaviors required to perform that activity. Students progress through various levels of understanding and proficiency; as their competence grows, their need for direct supervision diminishes. Ultimately, students should be capable of performing each activity independently, requiring assistance only when a situation is unique or unusually complex.
The list of subjects that the EPA focuses on includes:
1. History and physical exam skills
2. Differential diagnosis
3. Diagnostic/screening tests
4. Orders and prescriptions
5. Patient encounter documentation
6. Oral presentations of patient encounters
7. Clinical questioning/using evidence
8. Patient handovers/transitions of care
9. Teamwork
10. Urgent/Emergency care
11. Informed consent
12. Procedures
13. Safety and improvement
Medical education has faced criticism due to a lack of innovation and its excessive duration, which places an increased financial burden on students. There has been a significant rise in the number of programs that integrate medical training with research (M.D./Ph.D.) or management studies (M.D./MBA); however, this approach has also drawn criticism, as it has been observed that prolonged interruptions in clinical training ultimately have an adverse effect on clinical knowledge.
Postgraduate Education for Medical Students
Upon completion of entry-level training, newly graduated physicians are often required to practice under supervision for a prescribed period—typically one year—before receiving full licensure; this period may be referred to as an "internship," "provisional registration," or "residency."
Further training in a specific field of medicine may also be pursued. In the U.S., specialized training undertaken after residency is termed a "fellowship." In some jurisdictions, this specialized training commences immediately upon the completion of entry-level training, whereas in others, junior physicians must undergo several years of general (unspecialized) training before embarking on a specialization.
Every residency and fellowship program is accredited by the Accreditation Council for Graduate Medical Education (ACGME). This physician-led, non-profit organization is dedicated to enhancing the quality of medical education. The ACGME oversees all M.D. and D.O. residency programs within the United States. As of 2019, there were approximately 11,700 ACGME-accredited residency and fellowship programs, spanning 181 specializations and sub-specializations.
Pedagogy itself is also becoming an increasingly integral component of postgraduate medical training. It is now becoming common for medical educators to acquire formal qualifications in the field of education; this trend has led to a rapid proliferation in the number of graduate programs available in medical education.
Continuing medical education course
In most countries, completing 'Continuing Medical Education' (CME) courses is a mandatory requirement for maintaining one's professional license. CME requirements vary significantly depending on the specific state or country. In the United States, the accreditation process is overseen by the 'Accreditation Council for Continuing Medical Education' (ACCME). To fulfill these requirements, physicians often participate in specialized lectures, grand rounds, conferences, and performance-improvement activities. Furthermore, for their professional advancement, physicians are increasingly opting to pursue additional graduate-level training through formal medical education programs.
The Importance of Online Teaching in Medical Education
The use of online teaching in medical education is expanding rapidly, typically facilitated through Learning Management Systems (LMSs) or Virtual Learning Environments (VLEs). Furthermore, many medical schools have adopted 'blended learning,' which combines videos, asynchronous activities, and face-to-face exercises. A significant review published in 2018 revealed that online teaching methods are gaining rapid popularity in medical education, leading to increased student satisfaction and improved performance in knowledge assessments. However, evidence-based multimedia design principles are rarely applied when creating online lectures, despite their proven effectiveness for medical students. To introduce an element of novelty into the online teaching environment, 'serious games'—the benefits of which have previously been observed in medical education—can be utilized to break the monotony of online lectures.
Areas of research in online medical education include practical applications, such as the use of simulated patients and virtual medical records (see also: Telehealth). When compared in non-intervention settings, simulation-based training in medical education demonstrates a positive impact on knowledge, skills, and behavior, and a moderate impact on patient outcomes. However, compared to traditional face-to-face lectures, data regarding the effectiveness of asynchronous online learning remains inconsistent. Moreover, studies utilizing modern visualization technologies—specifically Virtual and Augmented Reality—have shown great promise as a means of enhancing instructional content in the teaching of physiology and anatomy.












