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| Philosophy of Education Environmental influences now challenge the University to institute meaningful change in the way it carries out its mission of education. The impact of health care reform, the development of new technology to assist learning, the imperative to address the needs of the community and society, and changing funding patterns in higher education and health care are all influences to which MUSC must respond. The education mission must be focused on and compatible with the strengths and purposes of the institution, as well as with the needs of the community and the health care system it serves. The University must provide education that is innovative and that is continually improved through ongoing evaluation of its programs. The integration of education, research, and clinical activities of MUSC must be strengthened to ensure optimal learning and professional development of its students, residents, fellows, and faculty. One of the central debates which recurs in any educational institution is that regarding the extent to which central planning and direction of the educational enterprise is desirable. MUSC must balance the focus which emanates from the individual colleges having autonomy and authority for their discipline-specific program with the need for central coordination and governance to assure coherence among programs, effective use of resources, and the achievement of University-wide goals. Central educational governance and coordination are necessary to ensure that
1 Community-based education - educational experiences located in the community-at-large beyond traditional boundaries associated with tertiary care centers, which provide learning environments and clinical experiences based on community needs and reflect the role demands of professionals in real-life career practice. 2 Service-learning - a partnership between the University and a community (e.g., a neighborhood, small rural town, school, church congregation, retirement home, etc.), in which learners and community residents work together toward mutually agreed upon goals. Service-learning takes place in and with, rather than for, the community and gives equal emphasis to educational outcomes and service activities that benefit the community and the learners. 3 Core competencies - a set of competencies that should be acquired by all students in the course of their education in order to be prepared for practice or research careers in the evolving health care and biomedical sciences environments.
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