N. Gupta is a second-year medical student, Mayo Clinic Alix School of Medicine, Scottsdale, Arizona. C.M. Thiele is a second-year medical student, Mayo Clinic Alix School of Medicine, Scottsdale, Arizona. J.I. Daum is a second-year medical student, Mayo Clinic Alix School of Medicine, Scottsdale, Arizona. L.K. Egbert is a second-year medical student, Mayo Clinic Alix School of Medicine, Scottsdale, Arizona. J.S. Chiang is a second-year medical student, Mayo Clinic Alix School of Medicine, Scottsdale, Arizona. A.E. Kilgore Jr is a second-year medical student, Mayo Clinic Alix School of Medicine, Scottsdale, Arizona. C.D. Johnson is a consultant, Department of Radiology, Mayo Clinic Hospital, Scottsdale, Arizona.
Acad Med. 2020 Jul;95(7):980-983. doi: 10.1097/ACM.0000000000003201.
Public trust in physicians has declined over the last 50 years. Future physicians will need to mend the patient-physician trust relationship. In conjunction with the American Medical Association's Accelerating Change in Medical Education initiative, the Mayo Clinic Alix School of Medicine implemented the Science of Health Care Delivery (SHCD) curriculum-a 4-year curriculum that emphasizes interdisciplinary training across population-centered care; person-centered care; team-based care; high-value care; leadership; and health policy, economics, and technology-in 2015. In this medical student perspective, the authors highlight how the SHCD curriculum has the potential to address issues that have eroded patient-physician trust. The curriculum reaches this aim through didactic and/or experiential teachings in health equity, cultural humility and competence, shared decision making, patient advocacy, and safety and quality of care. It is the authors' hope that novel medical education programs such as the SHCD curriculum will allow the nation's future physicians to own their role in rebuilding and fostering public trust in physicians and the health care system.
在过去的 50 年里,公众对医生的信任度下降了。未来的医生需要修复医患信任关系。为了配合美国医学协会的“加速医学教育变革”倡议,梅奥诊所阿里克斯医学院于 2015 年实施了医疗保健提供科学(SHCD)课程——一个为期 4 年的课程,强调以人群为中心的护理、以人为本的护理、团队为基础的护理、高价值护理、领导力以及卫生政策、经济和技术方面的跨学科培训。在这篇医学生的视角文章中,作者强调了 SHCD 课程如何有潜力解决侵蚀医患信任的问题。该课程通过在健康公平、文化谦逊和能力、共同决策、患者倡导以及护理安全和质量方面的理论和/或实践教学来实现这一目标。作者希望像 SHCD 课程这样的新型医学教育项目能够让美国未来的医生在重建和培养公众对医生和医疗体系的信任方面发挥自己的作用。