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青年医生对医学艺术的自我报告:该课程是否对人文主义、自我培养技能和医学反文化的个人体验产生持久影响?

A self-report of the Healer's art by junior doctors: does the course have a lasting influence on personal experience of humanism, self-nurturing skills and medical counterculture?

机构信息

Australian National University Medical School, Academic Unit of General Practice, Canberra, Australia.

Curtin University, Western Australian Group for Evidence Informed Healthcare Practice: A Joanna Briggs Institute Centre of Excellence, School of Nursing, Midwifery and Paramedicine, Perth, Australia.

出版信息

BMC Med Educ. 2019 Nov 29;19(1):443. doi: 10.1186/s12909-019-1877-3.

Abstract

BACKGROUND

Healer's Art (HA) is a voluntary course offered during medical school. The course aims to address the growing loss of meaning and commitment experienced by doctors through the exploration of compassion, empathy and awe in medicine, and early exposure to a supportive community of practice. This project aimed to evaluate the potential influence of HA on junior doctor graduates.

METHODS

Junior doctors who had undertaken HA during their medical studies were interviewed. A thematic analysis was performed on the results of these semi-structured interviews.

RESULTS

Ten junior doctors who had undertaken the HA course participated in interviews. All interviewees described the HA as a positive and enlightening experience in their medical education. The thematic analysis identified four major themes: developing empathy in the doctor-patient journey, self-care and self-awareness, the creation of a supportive community, and coping with the challenging medical culture.

CONCLUSIONS

HA provides experiential learning that enables participants to explore humanistic medicine. Self-selected junior doctors recall the course as a positive experience, and perceive themselves to be continuing to employ the techniques from HA in the healthcare setting. The concepts taught in the HA course appear to have a lasting personal impact on some junior doctors, who identify the course as influencing their self-reported positive patient-doctor relationships and supportive relationships with medical peers.

摘要

背景

医者的艺术(HA)是医学院提供的一门志愿课程。该课程旨在通过探索医学中的同情、同理心和敬畏,以及尽早接触到一个支持性的实践社区,来解决医生日益感受到的意义和承诺的丧失。本项目旨在评估 HA 对初级医生毕业生的潜在影响。

方法

对接受过医学研究期间的 HA 的初级医生进行了访谈。对这些半结构化访谈的结果进行了主题分析。

结果

接受过 HA 课程的 10 名初级医生参加了访谈。所有受访者都将 HA 描述为他们医学教育中的积极和启发性的体验。主题分析确定了四个主要主题:在医患旅程中培养同理心、自我保健和自我意识、创建支持性社区以及应对具有挑战性的医疗文化。

结论

HA 提供了体验式学习,使参与者能够探索人文医学。自我选择的初级医生回忆起这门课程是一次积极的经历,并认为自己在医疗保健环境中继续运用 HA 课程中的技术。HA 课程中教授的概念似乎对一些初级医生产生了持久的个人影响,他们认为该课程影响了他们自我报告的积极医患关系和与医疗同行的支持性关系。

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