Yamada Seiji, Maskarinec Gregory G, Greene Gordon A, Bauman Kay A
Hawaii/Pacific Basin AHEC, and Office of Medical Education, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu 96822, USA.
Fam Med. 2003 Apr;35(4):279-83.
As part of our family medicine clerkship seminar on the patient-physician relationship, third-year students write about an illness episode within their own families.
Using a grounded research approach, we examined 260 student narratives to extract the most significant meanings.
Significant themes that emerged include the role of family members in illness episodes, specific influences resulting from the family's ethnicity or religion, experiences with socially unacceptable illnesses, experiences with death, appreciation of the moral trajectory of illness, and situations that display the fallibility and limitations of medicine.
Writing exercises can help students recognize the centrality of narrative and of cultural values in medicine so they are better able to understand their patients and provide more patient-centered medical care.
作为我们关于医患关系的家庭医学实习研讨班的一部分，三年级学生撰写关于他们自己家庭中疾病事件的文章。
采用扎根研究方法，我们检查了260篇学生叙述以提取最重要的意义。
出现的重要主题包括家庭成员在疾病事件中的角色、家庭种族或宗教产生的特定影响、患有社会不可接受疾病的经历、死亡经历、对疾病道德轨迹的认识以及显示医学易错性和局限性的情况。
写作练习可以帮助学生认识到叙事和文化价值观在医学中的核心地位，以便他们更好地理解患者并提供更以患者为中心的医疗服务。
