从熟练到移情:评估医学生对外科医生的看法的转变,通过结合病人作为教师和基于艺术的反思计划

Canadian medical education journal Pub Date : 2023-11-08 eCollection Date: 2023-11-01 DOI:10.36834/cmej.76536
Gurjot K Gill, Stella L Ng, Emilia Kangasjarvi, Jeff Crukley, Arno Kumagai, Jory S Simpson
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引用次数: 0

摘要

引言:本研究的目的是使用一种创新的评估方法,确定在外科书记员轮换期间,结合“患者即教师”(PAT)和“艺术反思”(ABR)计划是否会影响外科医生更人性化的看法。方法:创建一个新颖的单问题评估工具。三年级的医学生被要求在他们的外科书记员轮换和参与PAT/ABR项目之前和之后,“按照感知的重要性,列出外科医生的前五大特质”。学生识别的属性被编码为“人文”或“非人文”,然后在贝叶斯框架下使用广义线性回归模型进行分析。结果:参加PAT/ABR项目后,学生将人文特征列为外科医生最重要属性的预测概率增加了17%,结论:这种创新的评估方法表明,PAT/ABR联合项目在鼓励手术的人文视角方面取得了成功,这种方法可以用于评估其他人文教育举措。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
From skillful to empathic: evaluating shifts in medical students' perceptions of surgeons through a combined patient as teacher and arts-based reflection program.

Introduction: The purpose of this study was to identify whether the incorporation of a combined Patient as teacher (PAT) and arts-based reflection (ABR) program during a surgical clerkship rotation could influence more humanistic perceptions of surgeons, using an innovative evaluation approach.

Methods: A novel, single question evaluation tool was created. Third year medical-students were asked to "list the top 5 attributes of a surgeon, in order of perceived importance" both before and after their surgical clerkship rotations and participation in the PAT/ABR program. Attributes identified by students were coded as either "humanistic" or "non-humanistic," which were then analyzed using generalized linear regression models under a Bayesian framework.

Results: After participation in the PAT/ABR program, the predicted probability of students ranking a humanistic characteristic as the most important attribute of a surgeon had increased by 17%, and the predicted probability of students ranking a humanistic characteristic amongst their top three attributes for a surgeon had increased by 21%.

Conclusion: This innovative evaluative method suggested the success of a combined PAT/ABR program in encouraging a humanistic perspective of surgery and this approach could potentially be explored to evaluate other humanistic education initiatives.

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