Abstract：
BACKGROUND: Politics is characterised by power relations, and the deployment of power is inescapably political. In an increasingly globalised and interconnected modern world, politics is shaping the field of medical education more than ever before. Global frameworks that classify peoples and places are political tools that are fundamentally shaped by hegemonic knowledge systems. Despite this, they continue to form the basis for global thinking and practices, including in medical education. Political analysis can help to expose and challenge such thinking.
METHODS: To better understand impacts of globalisation in medical education, we explore the previously under-examined political dimensions that underpin it, focusing particularly on deconstructing power relations. We situate our analysis of global medical education in political terms, including through examination of ideology, economics, market and the enduring effects of colonialism. We interrogate the construct of the Global South (GS), considering the geopolitical and historical ideas that have enabled it to be widely propagated. We go on to examine the consequences of the GS construct in medical education and consider what this tells us about how power is enacted in the field.
CONCLUSIONS: In analysing the politics of global medical education, we shed light on how power is exerted and draw attention to forces that permit and enable trends, policies and positions. Notwithstanding the emancipatory rhetoric that has been associated with the GS construct, we highlight its reductive potential and argue that it can lead to an oversimplification of power relations and vested interests. Given the growing recognition that educational approaches do not transfer well across countries and cultures, we encourage the medical education community to consider why ideas from more dominant countries continue to be imitated so routinely. In doing so, we urge them to use political lenses to recognise the influence of multiple complex and interconnected forces of global power that shape all aspects of medical education.
METHODS: To better understand impacts of globalisation in medical education, we explore the previously under-examined political dimensions that underpin it, focusing particularly on deconstructing power relations. We situate our analysis of global medical education in political terms, including through examination of ideology, economics, market and the enduring effects of colonialism. We interrogate the construct of the Global South (GS), considering the geopolitical and historical ideas that have enabled it to be widely propagated. We go on to examine the consequences of the GS construct in medical education and consider what this tells us about how power is enacted in the field.
CONCLUSIONS: In analysing the politics of global medical education, we shed light on how power is exerted and draw attention to forces that permit and enable trends, policies and positions. Notwithstanding the emancipatory rhetoric that has been associated with the GS construct, we highlight its reductive potential and argue that it can lead to an oversimplification of power relations and vested interests. Given the growing recognition that educational approaches do not transfer well across countries and cultures, we encourage the medical education community to consider why ideas from more dominant countries continue to be imitated so routinely. In doing so, we urge them to use political lenses to recognise the influence of multiple complex and interconnected forces of global power that shape all aspects of medical education.
摘要：
背景：政治的特点是权力关系，权力的部署必然是政治性的。在一个日益全球化和相互联系的现代世界中，政治比以往任何时候都更能塑造医学教育领域。对人民和地方进行分类的全球框架是从根本上由霸权知识体系塑造的政治工具。尽管如此,它们继续成为全球思维和实践的基础，包括医学教育。政治分析可以帮助揭露和挑战这种思维。
方法：为了更好地了解全球化对医学教育的影响，我们探索支撑它的政治层面，特别注重解构权力关系。我们从政治角度分析全球医学教育，包括通过意识形态审查，经济学,市场和殖民主义的持久影响。我们询问全球南方(GS)的结构，考虑到使其得以广泛传播的地缘政治和历史思想。我们继续研究GS构造在医学教育中的后果，并考虑这告诉我们如何在该领域制定权力。
结论：在分析全球医学教育的政治时，我们阐明了权力是如何发挥的，并提请人们注意允许和促成趋势的力量，政策和立场。尽管与GS构造相关的解放言论，我们强调了它的还原性潜力，并认为它可能导致权力关系和既得利益的过度简化。鉴于人们越来越认识到教育方法在不同国家和文化之间传播得不好，我们鼓励医学教育界考虑为什么来自更占主导地位的国家的想法继续被如此常规地模仿。在这样做的时候，我们敦促他们使用政治镜头来认识到塑造医学教育各个方面的多种复杂和相互联系的全球力量的影响。
方法：为了更好地了解全球化对医学教育的影响，我们探索支撑它的政治层面，特别注重解构权力关系。我们从政治角度分析全球医学教育，包括通过意识形态审查，经济学,市场和殖民主义的持久影响。我们询问全球南方(GS)的结构，考虑到使其得以广泛传播的地缘政治和历史思想。我们继续研究GS构造在医学教育中的后果，并考虑这告诉我们如何在该领域制定权力。
结论：在分析全球医学教育的政治时，我们阐明了权力是如何发挥的，并提请人们注意允许和促成趋势的力量，政策和立场。尽管与GS构造相关的解放言论，我们强调了它的还原性潜力，并认为它可能导致权力关系和既得利益的过度简化。鉴于人们越来越认识到教育方法在不同国家和文化之间传播得不好，我们鼓励医学教育界考虑为什么来自更占主导地位的国家的想法继续被如此常规地模仿。在这样做的时候，我们敦促他们使用政治镜头来认识到塑造医学教育各个方面的多种复杂和相互联系的全球力量的影响。
