Branch W T, Arky R A, Woo B, Stoeckle J D, Levy D B, Taylor W C
Brigham and Women's Hospital, Boston, Massachusetts.
Ann Intern Med. 1991 Mar 15;114(6):482-9. doi: 10.7326/0003-4819-114-6-482.
We developed a required, longitudinal course for first-year medical students that addressed the patient-doctor relationship. Our course linked understanding patients' experiences and perspectives on illness with listening to, talking with, and establishing a rapport with patients while obtaining their medical histories. Learning was enhanced by use of an interdisciplinary faculty and by small-group continuity and faculty mentoring. Our curriculum adapted problem-based, self-directed educational methods to convey medical humanism. We focused on bedside interviewing as the means for exploring patients' social, emotional, and ethical concerns.
我们为一年级医学生开设了一门必修的纵向课程,内容涉及医患关系。我们的课程将理解患者对疾病的体验和观点与在获取病史时倾听患者、与患者交谈并建立融洽关系联系起来。通过跨学科教师团队、小组连续性教学以及教师指导,学习效果得到了提升。我们的课程采用基于问题的、自主导向的教育方法来传达医学人文精神。我们将床边问诊作为探索患者社会、情感和伦理问题的方式。