停电;不舒服的教学举措?

IF 1.5 Q3 PRIMARY HEALTH CARE
Grainne P Kearney, Helen Reid, Mairead Corrigan
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引用次数: 0

摘要

背景:为了向医科学生介绍文化谦逊(Cultural Humility)的概念,我们设计了一项教学计划,让学生思考在临床沟通中如何通过语言的使用来体现权力,重点是全科医学。文化谦逊是 Tervalon 和 Murray-Garcia 提出的一个教学框架,旨在解决他们认为的文化能力模型的局限性:我们的教学活动特别关注临床沟通中的权力,包括口头咨询和书面记录。这堂课是在医学专业三年级学生的第一个 "临床 "学年中进行的,他们经常目睹并参与初级和二级医疗实习中的临床沟通。分析学生对课程的反思已获得伦理批准:参加活动的学生参与度很高。他们对这堂课给予了积极评价,认为这堂课提高了他们对临床语言在负面刻板印象和非人化病人方面的力量的认识。他们在反思医患关系中常用的临床语言无意中造成的伤害时表现出了文化谦逊。然而,最令我们震惊的是,尽管我们试图强调临床相关性和对未来医生发展的重要性,但出席会议的人数却很少,这也是我们作为教育者需要学习的地方:这篇文章为对文化谦逊感兴趣的教育工作者提供了一个框架。这一举措的意义在于如何(或不如何)在这一领域开展和提供培训。作为教育者,我们需要更多的考虑,包括围绕我们自己的语言,如何让学生围绕复杂的权力话题进行思考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Power failure; an uncomfortable teaching initiative?

Background: Introducing medical students to the concept of Cultural Humility, we devised a teaching initiative for students to consider how power manifests through the use of language in clinical communication, with a focus on General Practice. Cultural Humility is a pedagogical framework, introduced by Tervalon and Murray-Garcia, to address what they consider as the limitations of the Cultural Competence model.

Approach: Our teaching initiative specifically focused on power in clinical communication, both oral consultations and written notes. The session was delivered to third-year medical students during their first 'clinical' year, where they regularly witness and are involved in clinical communication across primary and secondary care placements. Ethical approval was in place to analyse students' reflections on the session.

Evaluation: Students who attended engaged well. They evaluated the session positively as increasing their awareness of the power of clinical language in negatively stereotyping and dehumanising patients. They demonstrated Cultural Humility in their reflections of the unintentional harm of clinical language commonly used for the doctor-patient relationship. However, most striking for us, and where our learning as educators lies, was the low attendance at the session, despite our attempts to underline clinical relevance and importance for development as future doctors.

Implications: This article offers a framework for educators interested in Cultural Humility. The implications of this initiative are how (or how not) to develop and deliver training in this space. More consideration is required as educators, including around our own language, as to how to engage students to think around the complex topic of power.

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来源期刊
Education for Primary Care
Education for Primary Care PRIMARY HEALTH CARE-
CiteScore
2.30
自引率
15.40%
发文量
51
期刊介绍: Education for Primary Care aims to reflect the best experience, expertise and innovative ideas in the development of undergraduate, postgraduate and continuing primary care education. The journal is UK based but welcomes contributions from all over the world. Readers will benefit from the broader perspectives on educational activities provided through the contributions of all health professionals, including general practitioners, nurses, midwives, health visitors, community nurses and managers. This sharing of experiences has the potential for enhancing healthcare delivery and for promoting interprofessional working.
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