住院医师培训中的医学人文:中国某大型综合性医院专业课程试点研究。

IF 2 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Xiaoyun Yang, Lifang Guo, Xiaoxiong Chen, Ju Zhang, Qiang Xiang
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引用次数: 0

摘要

背景:将人文学科融入医学教育的重要性已被认识到。然而,在中国住院医师规范化培训中,医学人文学科的课程设置往往是缺失的。本研究旨在确定医学人文学科试点课程在住院医师规范化培训中的可行性和有效性。方法:在医学人文学科中设置专门的课程,包括患者常见心理障碍的识别与处理、医患沟通、医疗纠纷案例分析与解决3门课程。该课程在一个学期中每月进行一次,共有118名居民参加了课程。参与者在课程前后完成了与课程内容相关的伦理法律知识和人文能力的评估。结果:大多数住院医师具有学士学位(85.6%),并在标准化住院医师培训的第一年(61.0%)。他们的学科背景多样,包括18个不同的临床医学专业。住院医师课程后自评平均分与课程前平均分相比,人文能力持续稳步提升。结论:医学人文学科的具体课程在中国住院医师教学中是可行和有效的。课程前后评价表明,在规范化住院医师培训过程中,该课程显著提高了住院医师的伦理法律知识和人文素养。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical Humanities in Resident Training: A Pilot Study of Specific Courses in a Large Comprehensive Hospital in China.

Background: The importance of integrating humanities into medical education has been recognized. However, the medical humanities curriculum is usually lacking during standardized training for residents in China. This study aims to determine the feasibility and effectiveness of pilot-specific courses in medical humanities in standardized residency training.

Methods: We designed specific courses in medical humanities, composed of 3 courses: Identifying and Managing Common Psychological Disorders of Patients, Patient-Clinician Communication, and Medical Dispute Cases Analysis and Resolution. The courses were scheduled monthly throughout the one semester, and a total of 118 residents participated in the curriculum. Participants completed the evaluation containing ethic-legal knowledge and humanistic competencies related to course content before and after the curriculum.

Results: Most participant residents had a bachelor's degree (85.6%) and were in the first year of standardized residency training (61.0%). Their disciplinary backgrounds are diverse, encompassing 18 different clinical medical specialties. The residents' average scores of postcourse self-assessments keep a steady increase in humanistic competencies compared with precourse average scores. All postcourse self-assessments showed significant improvement compared to precourse (P < .05), particularly in influential communication skills and diagnostic associations of processing ability.

Conclusion: The specific courses in medical humanities are feasible and effective in teaching residents in China. The pre-post course evaluation indicates that this humanities-based curriculum significantly improved residents' ethic-legal knowledge and humanistic competencies during standardized residency training.

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来源期刊
Journal of Medical Education and Curricular Development
Journal of Medical Education and Curricular Development EDUCATION, SCIENTIFIC DISCIPLINES-
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