Barnett Katherine Gergen, Fortin Auguste H
Yale University School of Medicine, New Haven, CT 06510-3240, USA.
J Gen Intern Med. 2006 May;21(5):481-5. doi: 10.1111/j.1525-1497.2006.00431.x.
Governing bodies for medical education recommend that spirituality and medicine be incorporated into training.
To pilot a workshop on spirituality and medicine on a convenience sample of preclinical medical students and internal medicine residents and determine whether content was relevant to learners at different levels, whether preliminary evaluation was promising, and to generate hypotheses for future research.
Private medical school and university primary care internal medicine residency program, both in the Northeast.
The authors designed and implemented a required 2-hour workshop for all second-year medical students and a separate required 1.5-hour workshop for all primary care internal medicine house staff. The workshops used multiple educational strategies including lecture, discussion, and role-play to address educational objectives.
Learners completed optional, anonymous pre and postworkshop surveys with six 5-point Likert-rated statements and space to cite the most useful part of the curriculum and their remaining questions. One hundred and thirty-seven learners participated and 100 completed both surveys. Medical students and residents had increased (all P< or =.002): agreement regarding the appropriateness of inquiring about spiritual and religious beliefs in the medical encounter, their perceived competence in taking a spiritual history, and their perceived knowledge of available pastoral care resources. Medical students, but not residents, had an increase in their perceived comfort in working with hospital chaplains.
A brief pilot workshop on spirituality and medicine had a modest effect in improving attitudes and perceived competence of both medical students and residents.
医学教育管理机构建议将精神信仰与医学纳入培训内容。
针对临床前医学生和内科住院医师的便利样本开展一场关于精神信仰与医学的研讨会试点，并确定其内容是否与不同层次的学习者相关、初步评估是否有前景，以及为未来研究提出假设。
一所私立医学院和一所大学的初级保健内科住院医师培训项目，均位于美国东北部。
作者为所有二年级医学生设计并实施了一场必修的两小时研讨会，为所有初级保健内科住院医师单独设计并实施了一场必修的1.5小时研讨会。这些研讨会采用了多种教育策略，包括讲座、讨论和角色扮演，以实现教育目标。
学习者完成了可选的、匿名的研讨会前后调查问卷，问卷包含六条5分制李克特量表评分陈述，并留有空间让他们列举课程中最有用的部分以及他们仍存在的问题。137名学习者参与其中，100人完成了两份调查问卷。医学生和住院医师在以下方面有所提高（所有P<或=0.002）：对在医疗问诊中询问精神和宗教信仰的适当性的认同度、他们对进行精神病史询问的感知能力，以及他们对现有牧师关怀资源的感知知识。医学生（而非住院医师）与医院牧师合作时的感知舒适度有所提高。
一场关于精神信仰与医学的简短试点研讨会在改善医学生和住院医师的态度及感知能力方面有一定效果。
