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医学人文课程与医学生同理心的提高有关。

Medical Humanities Coursework Is Associated with Greater Measured Empathy in Medical Students.

机构信息

Elson S. Floyd College of Medicine, Washington State University, Spokane.

Providence Internal Medicine Residency Spokane, Wash.

出版信息

Am J Med. 2016 Dec;129(12):1334-1337. doi: 10.1016/j.amjmed.2016.08.005. Epub 2016 Aug 24.

Abstract

PURPOSE

The primary focus of the study was to determine whether coursework in the medical humanities would ameliorate students' loss of and failure to develop empathy, a problem known to be common during medical education.

METHODS

Students were offered an elective course in the Medical Humanities for academic credit. The Jefferson Scale of Empathy Student Version (JSE-S) was administered at the beginning and end of an academic year in which humanities courses were offered. Changes in JSE-S scores among students who studied Medical Humanities were compared with changes in student who did not take any humanities coursework.

RESULTS

Medical humanities coursework correlated with superior empathy outcomes among the medical students. Of students not enrolled in humanities courses, 71% declined or failed to increase in JSE-S score over the academic year. Of those who took humanities coursework, 46% declined or failed to increase in JSE-S scores. The difference was statistically significant (P = .03). The medical humanities curriculum correlated with favorable empathy outcomes as measured by the JSE-S.

CONCLUSIONS

Elective medical humanities coursework correlated with improved empathy score outcomes in a group of US medical students. This may reflect a direct effect of the humanities coursework. Alternately, students' elective choice to take medical humanities coursework may be a marker for students with a propensity to favorable empathy outcomes.

摘要

目的

本研究的主要焦点是确定医学人文学课程是否能改善学生同理心的丧失和发展不足,这在医学教育中是一个众所周知的问题。

方法

学生可以选修医学人文学科的课程以获得学分。在开设人文课程的一学年的开始和结束时,采用杰斐逊同理心量表学生版(JSE-S)进行测试。将学习医学人文学科的学生的 JSE-S 评分变化与未修任何人文课程的学生的评分变化进行比较。

结果

医学人文学科课程与医学生同理心的良好结果相关。在没有修人文课程的学生中,有 71%的学生在 JSE-S 评分上下降或未能提高。在修人文课程的学生中,有 46%的学生在 JSE-S 评分上下降或未能提高。这一差异具有统计学意义(P=0.03)。医学人文学科课程与 JSE-S 测量的有利同理心结果相关。

结论

选修医学人文学科课程与一组美国医学生的同理心评分改善结果相关。这可能反映了人文学科课程的直接影响。或者,学生选择选修医学人文学科课程可能是对有利同理心结果倾向的标志。

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