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[医学与文学——医学教育中文学文本的解读与探讨]

[Medicine and literature--interpretation and discussion of literary texts in medical education].

作者信息

Frich J C, Jørgensen J

机构信息

Institutt for allmennmedisin og samfunnsmedisinske fag, Universitetet i Oslo.

出版信息

Tidsskr Nor Laegeforen. 2000 Apr 10;120(10):1160-4.

Abstract

BACKGROUND

In medical education, using literary texts as a starting point for discussion and reflection, is now quite common. Lectures and seminars in literature and medicine have been given at the University of Oslo since 1996. We describe our pedagogical approach as a "thematic interpretation and discussion of literary texts", theoretically grounded in reader-oriented criticism and problem-based learning (PBL). This article describes the kind of learning taking place during analysis and discussion of literary texts among medical students.

MATERIAL AND METHODS

We evaluated a series of four elective seminars for first and second year students in the autumn 1998. We used qualitative approaches based on analysis of material from observations during seminars, reflections written by participants, and notes from a group interview at the end of the seminars.

RESULTS

Analysis and discussion of literary texts may give medical students: A better understanding of communicative aspects in the doctor-patient-relationship. Experience with interpretation of narratives and insight into how differently we may interpret a story. Awareness of aspects and dilemmas related to being a doctor. Understanding of how people may experience illness and health.

INTERPRETATION

Lectures and seminars on literary texts might be an important supplement to other practical or theoretical teaching for medical students.

摘要

背景

在医学教育中,将文学文本作为讨论和反思的起点如今已相当普遍。自1996年起,奥斯陆大学就开设了文学与医学方面的讲座和研讨会。我们将自己的教学方法描述为“对文学文本进行主题解读与讨论”,其理论基础是读者导向批评和基于问题的学习(PBL)。本文描述了医学生在分析和讨论文学文本过程中所发生的那种学习。

材料与方法

我们对1998年秋季面向一年级和二年级学生开设的一系列四门选修研讨会进行了评估。我们采用基于对研讨会期间观察材料、参与者所写反思以及研讨会结束时小组访谈记录进行分析的定性方法。

结果

对文学文本的分析和讨论可能会使医学生:更好地理解医患关系中的交流方面。获得解读叙事的经验,并洞察我们对一个故事的解读可能存在的差异。意识到与成为一名医生相关的各方面及困境。理解人们对疾病和健康的体验方式。

解读

关于文学文本的讲座和研讨会可能是医学生其他实践或理论教学的重要补充。

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