Metcalf Elizabeth P, Selous Camilla
Centre for Medical Education, School of Medicine, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.
Clin Teach. 2020 Feb;17(1):47-51. doi: 10.1111/tct.13011. Epub 2019 Mar 5.
Modern slavery is the recruitment and movement of people by force, coercion, deception or abuse of vulnerability for the purposes of exploitation. Modern slavery is a serious violation of human rights with significant negative physical and mental health consequences. Health care professionals are in a unique position to identify, safeguard, make appropriate referrals and meet the health needs of victims of such exploitation when they access health care. Moreover, there are significant legal, professional and ethical obligations for health care professionals regarding responding to modern slavery.
We designed a two-part teaching session for undergraduate medical students at Cardiff University. Part 1 provided students with sufficient content information regarding the different types of modern slavery and pathways of referral. Part 2 provided training for students to communicate safely and effectively with these vulnerable patients. Student evaluation data were collected following the teaching.
Quantitative and free text analysis confirmed that student confidence in recognising and understanding the action expected of them improved significantly following the teaching.
Recent research indicates a serious shortfall in knowledge and confidence amongst health care professionals in the UK. Undergraduate medical education is a strategic point for training regarding people trafficking, yet medical education on people trafficking is variable and often absent in the UK. Although challenging in terms of content and governance, this teaching innovation appeared to be successful in raising the students' awareness of an increasingly common problem in the UK, helping to equip students with the necessary knowledge and skills to effectively identify and safely manage consultations involving potential victims of modern slavery.
现代奴隶制是指通过武力、胁迫、欺骗或利用他人脆弱性招募和转移人员以进行剥削的行为。现代奴隶制严重侵犯人权，会对身心健康造成重大负面影响。当遭受此类剥削的受害者寻求医疗服务时，医疗保健专业人员处于独特地位，能够识别、保护、进行适当转介并满足他们的健康需求。此外，医疗保健专业人员在应对现代奴隶制方面负有重大的法律、专业和道德义务。
我们为卡迪夫大学的本科医学生设计了一个分为两部分的教学课程。第一部分向学生提供了关于不同类型现代奴隶制及转介途径的足够内容信息。第二部分为学生提供与这些弱势患者安全有效沟通的培训。教学结束后收集了学生评估数据。
定量和自由文本分析证实，教学后学生在识别和理解对他们的期望行为方面的信心显著提高。
最近的研究表明，英国医疗保健专业人员在知识和信心方面存在严重不足。本科医学教育是关于人口贩运培训的战略要点，但在英国，关于人口贩运的医学教育参差不齐，且常常缺失。尽管在内容和管理方面具有挑战性，但这种教学创新似乎成功提高了学生对英国日益普遍问题的认识，有助于使学生具备有效识别和安全处理涉及现代奴隶制潜在受害者咨询的必要知识和技能。
