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缓慢的医学教育。

Slow medical education.

作者信息

Wear Delese, Zarconi Joseph, Kumagai Arno, Cole-Kelly Kathy

机构信息

Dr. Wear is professor of family and community medicine, Northeast Ohio Medical University, Rootstown, Ohio. Dr. Zarconi is system vice president for medical education and chief academic officer, Summa Health System, Akron, Ohio, and professor of medicine, Northeast Ohio Medical University, Rootstown, Ohio. Dr. Kumagai is professor of internal medicine and medical education and director, Family Centered Experience and Longitudinal Case Studies Programs, University of Michigan Medical School, Ann Arbor, Michigan. Ms. Cole-Kelly is professor of family medicine and director, Communication in Medicine and Foundations of Clinical Medicine Seminars, Case Western Reserve School of Medicine, Cleveland, Ohio.

出版信息

Acad Med. 2015 Mar;90(3):289-93. doi: 10.1097/ACM.0000000000000581.

Abstract

Slow medical education borrows from other "slow" movements by offering a complementary orientation to medical education that emphasizes the value of slow and thoughtful reflection and interaction in medical education and clinical care. Such slow experiences, when systematically structured throughout the curriculum, offer ways for learners to engage in thoughtful reflection, dialogue, appreciation, and human understanding, with the hope that they will incorporate these practices throughout their lives as physicians. This Perspective offers several spaces in the medical curriculum where slowing down is possible: while reading and writing at various times in the curriculum and while providing clinical care, focusing particularly on conducting the physical exam and other dimensions of patient care. Time taken to slow down in these ways offers emerging physicians opportunities to more fully incorporate their experiences into a professional identity that embodies reflection, critical awareness, cultural humility, and empathy. The authors argue that these curricular spaces must be created in a very deliberate manner, even on busy ward services, throughout the education of physicians.

摘要

慢医学教育借鉴了其他“慢”运动的理念,为医学教育提供了一种补充性导向,强调在医学教育和临床护理中进行缓慢而深入的思考以及互动的价值。当这些慢体验在整个课程体系中系统构建时,能为学习者提供进行深入思考、对话、欣赏和人际理解的方式,期望他们在成为医生后能将这些实践融入一生。本观点文章指出了医学课程中几个可以慢下来的环节:在课程的不同阶段进行阅读和写作时,以及在提供临床护理时,尤其注重进行体格检查和患者护理的其他方面。以这些方式放慢节奏所花费的时间,为初出茅庐的医生提供了机会,使他们能更充分地将自身经历融入到体现反思、批判性意识、文化谦逊和同理心的职业身份中。作者认为,即使在繁忙的病房服务中,在医生的整个教育过程中,也必须非常刻意地创造这些课程环节。

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