案例叙事医学教育在产科住院医师规范化培训中的效果。

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Advances in Medical Education and Practice Pub Date : 2025-08-22 eCollection Date: 2025-01-01 DOI:10.2147/AMEP.S538754
Lijia Du, Rui Zheng, Xiaoxiong Zhu, Junjun Jia, Zhifen Yang
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引用次数: 0

摘要

目的:随着临床实践中对人性化和以患者为中心的护理需求的增长,将叙事医学融入住院医师培训变得越来越重要。本研究旨在探讨接受标准化培训的产科住院医师的叙事能力,并评估案例教学法下叙事医学教育在提高临床实践和专业能力方面的有效性。患者和方法:共有46名产科住院医师在2021年10月至2024年5月期间参加了标准化培训项目,随机分为实验组(n = 23)和对照组(n = 23)。实验组住院医师接受病例叙事医学教育,对照组住院医师接受常规临床教学。在产科轮转之后,进行知识测试和客观结构化临床检查(oses)。采用有效问卷对叙事能力和教学效果进行主观评价。结果:产科轮转后,实验组OSCE评分明显高于对照组(P < 0.05)。实验组住院医师的叙事能力在训练后也有显著提高(P < 0.05)。实验组住院医师叙事能力得分和教学效果满意度均高于对照组(P < 0.05)。结论:基于案例教学的叙事医学教育能有效提高规范化培训产科住院医师的叙事能力、产科临床技能、医患沟通能力、批判性思维和学习参与度。这种创新的教学方法填补了人文医学教育的空白,为培养产科住院医师的综合专业能力提供了有效的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Effectiveness of Case-Based Narrative Medicine Education in the Standardized Training of Obstetric Residents.

Effectiveness of Case-Based Narrative Medicine Education in the Standardized Training of Obstetric Residents.

Purpose: As the demand for humanistic and patient-centered care grows in clinical practice, integrating narrative medicine into residency training has become increasingly important. This study aimed to investigate the narrative competencies of obstetric residents undergoing standardized training and to evaluate the effectiveness of narrative medicine education empowered by case-based teaching in enhancing clinical practice and professional competency.

Patients and methods: A total of 46 obstetric residents enrolled in standardized training programs between October 2021 and May 2024 were randomly assigned to either the experimental group (n = 23) or the control group (n = 23). Residents in the experimental group received case-based narrative medicine education, while those in the control group received conventional clinical teaching. Following the obstetrics rotation, knowledge tests and objective structured clinical examinations (OSCEs) were administered. Subjective evaluations of narrative competencies and teaching effectiveness were assessed using validated questionnaires.

Results: After the obstetrics rotation, OSCE scores were significantly higher in the experimental group compared to the control group (P < 0.05). Narrative competencies also showed a significant improvement among residents in the experimental group after the training (P < 0.05). Moreover, residents in the experimental group reported higher narrative competency scores and greater satisfaction with teaching effectiveness compared to the control group (P < 0.05).

Conclusion: Narrative medicine education empowered by case-based teaching effectively enhances narrative competencies, obstetric clinical skills, doctor-patient communication abilities, critical thinking, and learning engagement among obstetric residents undergoing standardized training. This innovative teaching approach addresses the gap in humanistic medical education and provides an effective strategy for cultivating comprehensive professional competency in obstetric residents.

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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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