Jaini Paresh Atu, Lee Jenny Seung-Hyun
Medical Student, Department of Family Medicine, Texas College of Osteopathic Medicine, University of North Texas Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, Texas 76107-2699, USA.
Assistant Professor, Department of Family Medicine, Texas College of Osteopathic Medicine, University of North Texas Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, Texas 76107-2699, USA.
J Lifestyle Med. 2015 Sep;5(2):49-59. doi: 10.15280/jlm.2015.5.2.49. Epub 2015 Sep 30.
Current medical practice is grounded in a biomedical model that fails to effectively address multifaceted lifestyle and morbidogenic environmental components that are the root causes of contemporary chronic diseases. Utilizing the biopsychosocial (BPS) model in medical school training may produce competent healthcare providers to meet the challenge of rising chronic illnesses that are a result of these factors. This study explored the current trend of research on the utility of the BPS model in medical education and examined medical school curricula that have explicitly adopted the BPS model.
A systematic review of peer-reviewed literature was conducted on the BPS model and medical education since the 1970s using multiple databases. Descriptive analysis was used to illustrate findings regarding the trends of the BPS model in medical education and its utility in specific medical schools in the United States.
Major findings illustrated a growing trend in research on the BPS model in medical education since the 1970s with literature in this area most visible since 2000. The same trend was established for the incorporation of psychosocial or behavioral and social science components in medical education. From our peer-reviewed literature search, only 5 medical schools featured utility of the BPS model in their curricula utilizing variable educational processes.
Although literature regarding the BPS model in medical education is growing, the explicit utility of the BPS model in medical school is limited. Our findings can stimulate educational processes and research endeavors to advance medical education and medical practice to ensure that future doctors can meet the challenge of rising lifestyle and environmental associated illnesses.
当前的医学实践基于生物医学模式,该模式未能有效解决多方面的生活方式和致病环境因素,而这些因素是当代慢性病的根本原因。在医学院校培训中运用生物心理社会(BPS)模式可能培养出有能力的医疗服务提供者,以应对因这些因素导致的慢性病不断增加的挑战。本研究探讨了BPS模式在医学教育中的应用研究的当前趋势,并考察了明确采用BPS模式的医学院校课程。
自20世纪70年代以来,使用多个数据库对关于BPS模式和医学教育的同行评审文献进行了系统综述。采用描述性分析来说明关于BPS模式在医学教育中的趋势及其在美国特定医学院校中的应用情况的研究结果。
主要研究结果表明,自20世纪70年代以来,关于BPS模式在医学教育中的研究呈增长趋势,自2000年以来该领域的文献最为显著。医学教育中纳入心理社会或行为及社会科学成分也呈现出同样的趋势。从我们对同行评审文献的搜索中,只有5所医学院校在其课程中采用了BPS模式,并运用了不同的教育过程。
尽管关于BPS模式在医学教育中的文献在不断增加,但BPS模式在医学院校中的明确应用是有限的。我们的研究结果可以推动教育过程和研究工作,以促进医学教育和医学实践,确保未来的医生能够应对生活方式和环境相关疾病不断增加的挑战。