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运用补充与替代医学课程元素培养医学生的自我意识。

Using complementary and alternative medicine curricular elements to foster medical student self-awareness.

作者信息

Elder Willam, Rakel David, Heitkemper Margaret, Hustedde Carol, Harazduk Nancy, Gerik Susie, Haramati Aviad

机构信息

Department of Family and Community Medicine, University of Kentucky College of Medicine, Lexington, Kentucky 40536-0284, USA.

出版信息

Acad Med. 2007 Oct;82(10):951-5. doi: 10.1097/ACM.0b013e318149e411.

Abstract

PURPOSE

To determine the value that the National Center for Complementary and Alternative Medicine (NCCAM)-funded Education Project leaders placed on self-awareness objectives among their curricular activities, to identify projects' rationales for inclusion of self-awareness activities, and to describe curricular elements used to teach self-awareness.

METHOD

A survey was distributed to the NCCAM Education Project grantees in October 2006. Survey items sought to identify project directors' perceived importance of self-awareness activities in complementary and alternative medicine (CAM) curricula, rationales for inclusion of self-awareness activities, and activities to foster self-awareness. Invited reports described in more depth the specific activities in three of the projects.

RESULTS

Fourteen of 15 reporting NCCAM educational projects rated activities to promote self-awareness as highly or very highly valued components, and all projects incorporated numerous strategies to enhance self-awareness. Learning objectives ranged from basic knowledge about mind-body relationships and psychoneuroimmunology, to evidence and indications for mind-body interventions, to training in self-application, to training for intervention with patients. Specific strategies that increase students' self-awareness included evidence-based CAM activities to help students recognize personal biases that may impair critical thinking; personal health experiences to expand definition of health beliefs; and mind-body medicine skills groups to personally integrate the use of mind-body techniques for wellness and stress management.

CONCLUSIONS

Incorporating some of these CAM curricular activities, didactically or experientially, may be a unique way to foster student self-awareness and personal growth.

摘要

目的

确定由美国国立补充与替代医学中心(NCCAM)资助的教育项目负责人对其课程活动中自我意识目标的重视程度,找出项目纳入自我意识活动的理由,并描述用于教授自我意识的课程内容。

方法

2006年10月向NCCAM教育项目受资助者发放了一份调查问卷。调查项目旨在确定项目负责人对补充与替代医学(CAM)课程中自我意识活动的重要性认知、纳入自我意识活动的理由以及培养自我意识的活动。受邀报告更深入地描述了其中三个项目的具体活动。

结果

15个汇报的NCCAM教育项目中有14个将促进自我意识的活动评为高度或非常高度重视的组成部分,并且所有项目都采用了多种策略来增强自我意识。学习目标范围从关于身心关系和心理神经免疫学的基础知识,到身心干预的证据和适应症,到自我应用培训,再到对患者进行干预的培训。提高学生自我意识的具体策略包括基于证据的CAM活动,以帮助学生认识到可能损害批判性思维的个人偏见;个人健康经历以扩展健康信念的定义;以及身心医学技能小组,以个人方式整合身心技术用于健康和压力管理。

结论

通过教学或体验方式纳入这些CAM课程活动中的一些内容,可能是培养学生自我意识和个人成长的独特途径。

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