卢旺达医学教育中医学生对健康的社会决定因素的经验:一项定性研究。

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Advances in Medical Education and Practice Pub Date : 2025-08-06 eCollection Date: 2025-01-01 DOI:10.2147/AMEP.S532433
Claire O Swedberg, Eden Abate Lemu, Christelle Uwantege Giraneza, Elizabeth H Bradley
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引用次数: 0

摘要

背景:尽管人们越来越认识到医疗实践中健康的社会决定因素的重要性,但这一领域的医生培训仍然有限。本研究的目的是评估卢旺达全球健康公平大学(UGHE)的医学生对以健康为重点的创新社会决定因素课程的体验,该大学将社会医学纳入医学学士、外科学士(MBBS)课程。方法:采用深度访谈数据进行定性研究(n=18)。我们使用数据分析的持续比较方法来描述访谈中反复出现的主题。结果:在学生对以健康为重点的课程的社会决定因素的体验中,出现了四个反复出现的主题:1)提高学生对自身偏见的自我意识;2)将学生从指责模式转变为同理心的实践;3)让学生将患者视为具有复杂故事和需求的整体,而不仅仅是诊断或一系列疾病;4)加强学生致力于解决更大卫生系统中的缺陷,作为改善健康的一部分。结论:我们的研究通过证明低收入环境的医学院在其课程中实施健康的社会决定因素的潜力,增加了文献。这项研究的结果可能对寻求实施更全面的医学教育方法的医学教育者和政策制定者有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical Students' Experiences with Social Determinants of Health in Medical Education in Rwanda: A Qualitative Study.

Background: Despite growing recognition of the importance of social determinants of health in medical practice, physician training in this area remains limited. The aim of this research was to evaluate medical students' experiences with an innovative, social determinants of health-focused curriculum at the University of Global Health Equity (UGHE) in Rwanda, where social medicine is embedded in the Bachelor of Medicine, Bachelor of Surgery (MBBS) program.

Methods: This was a qualitative study using data from in-depth interviews (n=18). We used the constant comparative method of data analysis to characterize recurrent themes across the interviews.

Results: Four recurrent themes in students' experiences with the social determinants of health-focused curriculum emerged: 1) increased students' self-awareness about their own biases, 2) moved students from a mode of blame to a practice of empathy 3) allowed students to see patients as whole people with complex stories and needs rather than merely a diagnosis or set of diseases, and 4) strengthened students' commitment to addressing shortcomings in the larger health system as part of improving health.

Conclusion: Our study adds to the literature by demonstrating the potential for medical schools in low-income settings to implement social determinants of health into their curriculum. Findings from the study may be useful for medical educators and policymakers seeking to implement more holistic approaches to medical education.

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来源期刊
Advances in Medical Education and Practice
Advances in Medical Education and Practice EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
3.10
自引率
10.00%
发文量
189
审稿时长
16 weeks
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