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教育研究:神经科住院医师的艺术基础课程。

Education Research: An arts-based curriculum for neurology residents.

机构信息

From the Department of Neurology, University of Virginia School of Medicine, Charlottesville.

出版信息

Neurology. 2019 Feb 19;92(8):e879-e883. doi: 10.1212/WNL.0000000000006961.

Abstract

OBJECTIVE

To determine the feasibility and educational value of an arts-based curriculum for neurology residents, with the following specific learning objectives: to enhance communication and observational skills, increase awareness of point of view, and deepen appreciation of the narrative content of illness.

METHODS

Narrative medicine and visual thinking exercises, adopted from the study of literature and art history, were offered as monthly sessions in the neurology residents' conference schedule. Participants completed an institutional review board-approved anonymous evaluation using a 5-point Likert scale to rate course effectiveness and perform a retrospective pre- and post-self-assessment of communication and visual observation skills. They also provided free text feedback on the course.

RESULTS

All participants rated the course highly and found the exercises effective in enhancing awareness of language and observational skills. Eighty percent of participants rated their listening and observation skills as above average after participation, which improved from 63% and 45%, respectively, before the sessions. Comments on the course cited the importance of reflection, focused attention, awareness of multiple perspectives, and appreciation of colleagues.

CONCLUSIONS

Arts-based graduate medical education is feasible and effective in teaching residents to listen and observe more closely. Narrative medicine and visual thinking exercises highlight these skills and promote professional growth, providing an opportunity to reflect and find meaning in clinical work.

摘要

目的

确定针对神经科住院医师的基于艺术的课程的可行性和教育价值,具体学习目标如下:增强沟通和观察技能,提高对观点的认识,加深对疾病叙述内容的欣赏。

方法

采用文学和艺术史研究中的叙事医学和视觉思维练习,作为神经科住院医师会议日程中的每月课程。参与者使用 5 点李克特量表完成机构审查委员会批准的匿名评估,以评估课程效果,并对沟通和视觉观察技能进行回顾性前后自我评估。他们还对课程提供了自由文本反馈。

结果

所有参与者都对课程给予了高度评价,并发现这些练习有助于提高对语言和观察技能的认识。80%的参与者在参与后认为自己的听力和观察技能高于平均水平,而在课程开始前,这两项技能的得分分别为 63%和 45%。对课程的评价提到了反思、集中注意力、认识到多个角度以及欣赏同事的重要性。

结论

基于艺术的研究生医学教育在教授住院医师更密切地倾听和观察方面是可行且有效的。叙事医学和视觉思维练习突出了这些技能,并促进了专业成长,为在临床工作中反思和寻找意义提供了机会。

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