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[医学教育中的心身医学与心理治疗课程——概念、实施与评估]

[Curriculum psychosomatic medicine and psychotherapy in medical education--concept, implementation, evaluation].

作者信息

Fritzsche Kurt, Engemann Bettina, Wirsching Michael

机构信息

Abteilung für Psychosomatische Medizin und Psychotherapie am Universitätsklinikum Freiburg.

出版信息

Psychother Psychosom Med Psychol. 2008 Aug;58(8):321-5. doi: 10.1055/s-2007-986353. Epub 2008 Feb 21.

Abstract

Many medical schools endeavor to improve teaching in the disciplines of Psychosomatic Medicine and Psychotherapy. This article describes the teaching methods for teaching psychosomatic and psychotherapeutic fundamentals and how they are applied in practice. The best possible learning effect is achieved by coordinating training and learning goals, contents and methods and the general environment of the discipline. The 1-week block course is part of a 7-week block on "The Nervous System and the Psyche". The contents and practical exercises are designed to enable students to continuously improve their knowledge and their practical skills during the course. The focus is on psychological relations with somatic illnesses, improvement of the doctor's interviewing techniques, the importance of the doctor-patient relationship, and the most important emotional and psychosomatic disorder patterns such as anxiety and depressive reaction when being informed about a life-threatening disease, somatoform disorders and eating disorders. The practical course, including lectures, was rated 1.6 (on a scale of 1-5 with 1 being the best and 5 the worst grade) in the last two semesters. The patient live interviews and the use of actors simulating patients for practice interviews were particularly well received. A description of the implementation difficulties and tasks for the future is included.

摘要

许多医学院校都致力于改进心身医学和心理治疗学科的教学。本文介绍了心身医学和心理治疗基础教学的方法以及它们在实践中的应用方式。通过协调培训与学习目标、内容与方法以及该学科的总体环境,可实现最佳学习效果。为期1周的集中课程是为期7周的“神经系统与心理”集中课程的一部分。课程内容和实践练习旨在使学生在课程期间不断提升知识水平和实践技能。重点在于与躯体疾病的心理关系、医生问诊技巧的提高、医患关系的重要性,以及诸如在得知危及生命的疾病时出现的焦虑和抑郁反应、躯体形式障碍和进食障碍等最重要的情绪和心身障碍模式。包括讲座在内的实践课程在前两个学期的评分是1.6(评分范围为1至5,1为最佳,5为最差)。患者现场访谈以及使用演员模拟患者进行实践访谈尤其受到好评。文中还包括了对实施困难和未来任务的描述。

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