Lee Wei-Nchih, Langiulli Michael, Mumtaz Arif, Peterson Stephen J
Division of General Internal Medicine, New York Medical College/Westchester Medical Center, Valhalla, NY 10595, USA.
Heart Dis. 2003 Nov-Dec;5(6):380-3. doi: 10.1097/01.hdx.0000098641.24830.86.
Humanistic qualities of integrity, respect and compassion are important components of medical education. Studies, however, suggest that students may not perceive their faculty physicians as humanistic. Knowing how the perception of humanistic qualities varies by training level may offer insight on how we teach humanism. In this study, the authors compared humanistic quality scores of fourth-year medical students, internal medicine residents, and attending physicians on a general medicine ward of a teaching hospital. A validated nursing survey to assess humanistic qualities among physicians was distributed to randomly selected nurses on the medicine wards. The survey measured physician relationships with other medical staff, the patient, and family members. Each item was scored on a 5-point Likert scale. Composite scores for physician to staff relationships and physician to patient/family relationships, as well as an overall evaluation score, were compared across levels of physician training. A t test was done to determine statistical significance across training levels. No statistically significant differences were found between internal medicine residents and attending physicians. Subinterns appear to have better perceived qualities of humanism compared with resident and attending physicians. Because resident and attending physicians play an important role in medical education, efforts should be made to improve the perceived humanistic qualities of both resident and attending physicians.
正直、尊重和同情心等人文素质是医学教育的重要组成部分。然而，研究表明，学生可能并不认为他们的带教医生具有人文精神。了解人文素质的认知如何因培训水平而异，可能有助于我们了解如何教授人文主义。在这项研究中，作者比较了教学医院普通内科病房中四年级医学生、内科住院医师和主治医生的人文素质得分。一项经过验证的评估医生人文素质的护理调查被分发给内科病房随机挑选的护士。该调查衡量了医生与其他医务人员、患者及其家属的关系。每个项目都采用5分制李克特量表进行评分。比较了不同培训水平医生在医生与工作人员关系、医生与患者/家属关系方面的综合得分以及总体评价得分。采用t检验来确定不同培训水平之间的统计学显著性。在内科住院医师和主治医生之间未发现统计学上的显著差异。与住院医师和主治医生相比，实习医生似乎对人文素质的认知更好。由于住院医师和主治医生在医学教育中起着重要作用，应努力提高住院医师和主治医生的人文素质认知。
