Shapiro Johanna, Rucker Lloyd
Department of Family Medicine, Program in Medical Humanities & Arts, Orange, CA 92868-3298, USA.
Acad Med. 2003 Oct;78(10):953-7. doi: 10.1097/00001888-200310000-00002.
The Program in Medical Humanities & Arts at the University of California, Irvine, College of Medicine has been in existence for five years. The program was implemented to enhance aspects of professionalism including empathy, altruism, compassion, and caring toward patients, as well as to hone clinical communication and observational skills. It contains elective or required curriculum across all four years of medical school and required curriculum in two residency programs, organized according to structural principles of horizontal coherence, vertical complexity, and patient care applications. The program emphasizes small-group, interdisciplinary teaching and faculty development, and is notable for learners' use of creative projects to reflect on patients and themselves. Evaluation of the program indicates a positive response among learners. More systematic studies point to increases in empathy and positive attitudes toward the humanities as tools for professional development as a result of exposure to the program curriculum. Future directions include closer collaboration with the University of California, Irvine, Schools of the Arts and Humanities, involvement of local artists and writers, and development of a graduation with distinction in humanities for medical students.
加州大学欧文分校医学院的医学人文与艺术项目已经开展五年了。该项目的实施旨在提升职业素养的多个方面,包括对患者的同理心、利他主义、同情心和关怀,同时磨练临床沟通和观察技能。它涵盖了医学院四年的选修或必修课程以及两个住院医师项目的必修课程,这些课程按照横向连贯性、纵向复杂性和患者护理应用的结构原则进行组织。该项目强调小组跨学科教学和教师发展,并以学习者通过创意项目反思患者和自身而闻名。对该项目的评估表明学习者有积极反馈。更系统的研究指出,由于接触该项目课程,学习者的同理心有所增强,对将人文作为职业发展工具的积极态度也有所提升。未来的方向包括与加州大学欧文分校的艺术与人文学院更紧密合作、让当地艺术家和作家参与进来,以及为医学生制定人文荣誉毕业计划。