Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA; Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA.
Explore (NY). 2013 Sep-Oct;9(5):292-8. doi: 10.1016/j.explore.2013.06.003.
In 2002 the American Medical Student Association (AMSA) created a fourth-year medical student elective known as the Humanistic Elective in alternative medicine, Activism, and Reflective Transformation (HEART) that provided the opportunity for students to explore humanism in medicine, self-care, complementary and alternative medicine modalities, communication, activism, and community building in a four-week immersion experience. The educational effects of this elective, and whether it has met its stated goals, are unknown.
The authors conducted a web-based, cross-sectional survey of the first eight cohorts of HEART graduates in 2010. Survey questions assessed respondents' demographics and perspectives on the educational impact of the elective. Descriptive statistics were used to characterize the sample and qualitative analyses were guided by grounded theory.
Of 168 eligible alumni, 122 (73%) completed the survey. The majority were female (70%), age ≤35 (77%) years, and trained in primary care specialties (66%). Half were attendings in practice. The majority of respondents felt the elective taught professionalism (89%) and communication skills (92%) well or very well. The majority highly agreed that the elective helped them better cope with stress during residency training (80%), taught them self-care skills (75%), and improved their ability to empathize and connect with patients (71%). Qualitative analysis of the personal and professional impact of the elective identified twelve common themes with self-discovery, self-care, and collegial development/community most frequently cited.
The majority of HEART graduates endorse learning important skills and benefiting from the experience both personally and professionally. Aspects of the HEART curriculum may help training programs teach professionalism and improve trainee well-being.
2002 年，美国医学生协会（AMSA）创建了一门第四年的医学生选修课程，称为替代医学、行动主义和反思转型中的人文选修课程（HEART），为学生提供了在四周的沉浸体验中探索医学人文主义、自我保健、补充和替代医学方式、沟通、行动主义和社区建设的机会。该选修课程的教育效果以及是否达到其既定目标尚不清楚。
作者对 2010 年第一批八批 HEART 毕业生进行了基于网络的横断面调查。调查问题评估了受访者对选修课程的教育影响的人口统计学和观点。使用描述性统计数据来描述样本，并且定性分析由扎根理论指导。
在 168 名符合条件的校友中，有 122 名（73％）完成了调查。大多数是女性（70％），年龄≤35 岁（77％），接受过初级保健专业培训（66％）。一半是在实践中担任主治医生。大多数受访者认为该选修课程很好或非常好地教授了专业精神（89％）和沟通技巧（92％）。大多数人强烈认为该选修课程有助于他们在住院医师培训期间更好地应对压力（80％），教授他们自我保健技能（75％），并提高他们与患者共情和联系的能力（71％）。对选修课程的个人和专业影响的定性分析确定了十二个常见主题，其中自我发现、自我保健和同事发展/社区最常被引用。
大多数 HEART 毕业生都认可在个人和职业方面学习重要技能并受益于该经验。HEART 课程的各个方面可能有助于培训计划教授专业精神并提高学员的幸福感。
