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利用摄影提升全科医生培训学员的反思性实践和专业发展。

Using photography to enhance GP trainees' reflective practice and professional development.

作者信息

Forde Emer, Priego-Hernandez Jacqueline, Butcher Aurelia, Wedderburn Clare

机构信息

Department of Corporate and Marketing Communication, Bournemouth University, Faculty of Media & Communication, Poole, UK.

GP Centre, Bournemouth University, Poole, UK.

出版信息

Med Humanit. 2018 Sep;44(3):158-164. doi: 10.1136/medhum-2017-011203. Epub 2018 Feb 8.

DOI:10.1136/medhum-2017-011203
PMID:29439086
Abstract

The capacity and the commitment to reflect are integral to the practice of medicine and are core components of most general practitioners (GP) training programmes. Teaching through the humanities is a growing area within medical education, but one which is often considered a voluntary 'add-on' for the interested doctor. This article describes an evaluation of a highly innovative pedagogical project which used photography as a means to enhance GP trainees' reflective capacity, self-awareness and professional development. Photography was used as a tool to develop GP trainees' skills in recognising and articulating the attitudes, feelings and values that might impact on their clinical work and to enhance their confidence in their ability to deal with these concerns/issues. We submit that photography is uniquely well suited for facilitating insight and self-reflection because it provides the ability to record 'at the touch of a button' those scenes and images to which our attention is intuitively drawn without the need for-or the interference of-conscious decisions. This allows us the opportunity to reflect later on the reasons for our intuitive attraction to these scenes. These photography workshops were a compulsory part of the GP training programme and, despite the participants' traditional scientific backgrounds, the results clearly demonstrate the willingness of participants to accept-even embrace-the use of art as a tool for learning. The GP trainees who took part in this project acknowledged it to be beneficial for both their personal and professional development.

摘要

反思的能力和意愿是医学实践不可或缺的一部分,也是大多数全科医生(GP)培训项目的核心组成部分。通过人文学科进行教学在医学教育中是一个不断发展的领域,但它常常被认为是对有兴趣的医生的一种自愿“附加”内容。本文描述了对一个极具创新性的教学项目的评估,该项目将摄影作为一种手段,以提高全科医生培训学员的反思能力、自我认知和职业发展。摄影被用作一种工具,来培养全科医生培训学员识别和表达可能影响其临床工作的态度、情感和价值观的技能,并增强他们应对这些问题的信心。我们认为,摄影非常适合促进洞察力和自我反思,因为它能够“一键按下”记录那些我们的注意力被直观吸引的场景和图像,而无需有意识的决定或干扰。这使我们有机会稍后反思我们对这些场景产生直观吸引力的原因。这些摄影工作坊是全科医生培训项目的必修部分,尽管参与者有着传统的科学背景,但结果清楚地表明,参与者愿意接受甚至欣然接受将艺术作为一种学习工具。参与该项目的全科医生培训学员承认,这对他们的个人和职业发展都有益处。

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