Wilkes Michael, Raven Bertram H
University of California School of Medicine, Davis 95616, USA.
Acad Med. 2002 Jun;77(6):481-8. doi: 10.1097/00001888-200206000-00003.
Many aspects of the medical education system lead trainees to a host of maladaptive reactions and behaviors, but far too little attention has been focused on the impact that interactions between teacher and learner can have on the development of professionalism. The authors discuss the concept of "social influence," a change of attitude, belief, or behavior resulting from the actions of another person in the context of the medical education setting. Using the example of a medical student who has not adequately completed his inpatient medicine requirements, they identify ten strategies of social influence that a medical educator might invoke to change the student's behavior and evaluate the benefits and drawbacks of these strategies. This overview can be used by faculty to explore new strategies of teaching and to reflect on their current teaching styles.
医学教育体系的诸多方面会使受训者产生一系列适应不良的反应和行为，但对于教师与学习者之间的互动对职业素养发展可能产生的影响，关注却远远不够。作者们讨论了“社会影响”这一概念，即在医学教育背景下，由他人的行为导致的态度、信念或行为的改变。以一名未充分完成住院医师医学要求的医学生为例，他们确定了医学教育者可能用来改变该学生行为的十种社会影响策略，并评估了这些策略的利弊。教师可以利用这一概述来探索新的教学策略，并反思他们当前的教学风格。
