Development and Implications of the Zagreb Declaration on Person-centered Health Professional Education

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James Appleyard
Juan Mezzich
Tesfamicael Ghebrehiwet


The aim of this paper is to describe the development of the 2013 Zagreb Declaration on Person-centered Education and Training and to provide additional information on the action point areas identified during the Declaration’s development process. It is a living document and further suggestions for refinement at our annual Geneva Conferences are welcome.The current health profession educational system, including educators and professional role models, is dominated by professionals trained and practiced in a biomedical system of care focused on the diseases of individuals. There is less emphasis on their personal values and choices within a holistic care paradigm. There is a need for reorienting the education of medical and other health professionals towards person centered approach.Main areas of action include: enhancement of the conceptual bases of professional training and public education; analysis and optimization of the organization and culture of educational institutions; selection of educators and students who are suited to the goals and responsibilities required of health professionals; and promoting curricular developments that have person-centered guiding principles’.

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Author Biography

James Appleyard, British Medical Association International Association of Medical Colleges

Past President World Medical AssociationVice President of the British Medical AssociationHon Secretary to the Board of Trustees of the International Association of Medical Colleges 2007-President of the WMA Sept 2003-2004with special areas of interest in Human Rights, Child Health, and Health DatabasesProfessional Work Consultant Children’s Physician at the Kent and Canterbury Hospital from 1971-1998 Professor of Pediatrics, 1985-1995. Dean of Clinical Studies (UK) 1995-1997  St George’s University, Grenada W.I.Dean of Clinical Sciences, Kigezi International School of Medicine, Uganda 2000-2004 British Medical AssociationA Chief Officer for nine years as Chairman of Representative Body 1992-1995.and then as Treasurer 1996-2002 Ethics Chair of the WMA Ethics Committee 1995-1999 Member of the BMAs Ethics Committee 1992-2003Member of the East Kent Research Ethics Committee 2006- Treasurer and (Vice President)  of the British .Paediatric Association. 1983-1988PublicationsOn neonatal topics including coagulation disorders of the New Born,Children with disabilities, medical education, manpower and medical ethics in peer reviewed journals


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