Bendheim Integrative Medicine Center, Memorial Sloan Kettering Cancer Center , New York City , NY , USA.
Department of Gastroenterology and Hepatology, New York-Presbyterian Brooklyn Methodist Hospital , Brooklyn , NY , USA.
Med Teach. 2019 Aug;41(8):960-962. doi: 10.1080/0142159X.2019.1578876. Epub 2019 Mar 11.
Intolerance of ambiguity among medical students is associated with negative attitudes towards psychosocially complex patients. In this paper, the authors evaluated the feasibility of a 3.5-hour workshop aimed at fostering tolerance for ambiguity in medical students through semi-structured interactions with horses that functioned as experiential surrogates for ambiguity. Among 26 first-year medical students who participated in the feasibility assessment, an overwhelming majority rated the workshop as academically valuable and recommended that it be offered again in the future. After feasibility was established, an additional group of 7 first-year medical students and 5 fourth-year students completed Budner's Tolerance of Ambiguity scale before and after the workshop to provide preliminary data on its effectiveness. The post-workshop mean scores on the Budner scale were lower than pre-workshop mean scores, suggesting that students developed greater tolerance for ambiguity following the workshop. This difference was statistically significant among the first-year students, but not among the fourth-year students. Our findings demonstrate that the equine-facilitated workshop is feasible and can potentially help medical students develop greater tolerance for ambiguity.
医学生对模棱两可的容忍度与他们对心理社会复杂患者的负面态度有关。在本文中，作者评估了一个 3.5 小时的工作坊的可行性，该工作坊旨在通过与马的半结构化互动来培养医学生对模棱两可的容忍度，马可以作为模棱两可的体验替代物。在参与可行性评估的 26 名一年级医学生中，绝大多数人认为该工作坊具有学术价值，并建议将来再次举办。在确定可行性后，另外一组 7 名一年级医学生和 5 名四年级学生在工作坊前后完成了布德纳的模糊容忍度量表，以提供其有效性的初步数据。工作坊后的布德纳量表的平均得分低于工作坊前的平均得分，这表明学生在工作坊后对模棱两可的容忍度有所提高。这一差异在一年级学生中具有统计学意义，但在四年级学生中没有。我们的研究结果表明，马辅助工作坊是可行的，并且可以帮助医学生培养更大的模糊容忍度。
