英国医学院的医学人类学教学:培养医学生的自述实践能力

Tyler Harvey, Lisa Dikomitis, Brianne Wenning
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摘要

行为与社会科学(BSS)是英国本科医学教育的核心内容。尽管英国医学总会(GMC)正式承认行为与社会科学,但人类学在医学课程中仍处于边缘地位。与生物医学学习内容相比,医科学生经常将人类学描述为 "毛毛雨 "或 "常识"。为了使人类学更贴近和适用于未来的临床实践,我们借鉴了一位人类学家在英国两所医学院实地考察时收集的人种学数据(访谈、焦点小组、现场笔记和医学生撰写的反思性文章)。我们建议将这些内容从临床前阶段转移到临床阶段。具体来说,我们建议让学生在临床阶段进行微观自述,将医学生培训的两个重要方面结合起来:BSS原则和专业身份的形成。在这一特定背景下植入这些概念,将使学生能够处理他们在临床环境和团队中观察到的互动与正式教授的内容之间可能感受到的紧张关系。在这一过程中,他们可以在实践与理想之间协商自己的专业身份,同时在当前医学课程的限制条件下,以一种相关和即时适用的方式,更有力地定位 BSS 内容。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Teaching Medical Anthropology in UK Medical Schools: Cultivating Autoethnographic Practice among Medical Students
Behavioural and social sciences (BSS) are a core component of undergraduate medical education in the United Kingdom. Despite the formal recognition of BSS by the UK’s General Medical Council (GMC), anthropology remains largely at the periphery in the medical curriculum. Medical students often describe it as ‘fluffy’ or as ‘common sense’, in comparison to biomedical learning content. To make anthropology more relevant and applicable to future clinical practice, we draw on ethnographic data (interviews, focus groups, field notes and reflective texts written by medical students) collected by an anthropologist during fieldwork in two UK medical schools. We suggest moving this content out of the preclinical phase and instead incorporating it into the clinical phase. Specifically, we propose that having students conduct a micro-autoethnography during the clinical phase brings together two crucial aspects of medical student training: BSS principles and formation of a professional identity. Embedding these concepts in this specific context will allow students to process tensions they may feel between interactions they observe in a clinical context and team versus what they have been formally taught. This process allows them to negotiate their own professional identity between practice and ideal while more robustly situating BSS content in a relevant and immediately applicable manner within the current constraints of the medical curriculum.
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