From the Division of General Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ont. (Simpson, Ahmed, Rotstein); the Centre for Faculty Development, St. Michael's Hospital and University of Toronto, Toronto, Ont. (Ng); Applied Education Research Operatives, St. Michael's Hospital, Toronto, Ont. (Kangasjarvi); Department of Psychiatry, University of Toronto, Toronto, Ont. (Kalocsai); Academiec Affairs, St. Michael's Hospital, Toronto, Ont. (Hindle;) Women's College Hospital, University of Toronto, Toronto, Ont. (Kumagai); the University Health Network, University of Toronto, Toronto, Ont. (Cil); and Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ont. (Fenech).
Can J Surg. 2020 May 13;63(3):E257-E260. doi: 10.1503/cjs.005319.
Surgeons are frequently perceived by medical students to be uncompassionate, resolute and individualistic. Surgical education often prioritizes teaching and learning approaches that perpetuate these perceptions. In other specialties, engaging patients in education has shown promise in refocusing attention from the technical and procedural aspects of care toward the humanistic and social aspects. Despite proven favourable outcomes for both patients and students in many clinical areas, a "patient as teacher" approach to surgical education has yet to be adopted widely in Canada. A patient as teacher program was developed for surgical clerks at the University of Toronto with the goal of emphasizing the humanity of the patient, the psychosocial impact of a surgical diagnosis of breast cancer on patients and their families, and the social and humanistic roles for surgeons in providing patient-centred care. We report on the program's development process and pilot session.
外科医生经常被医学生认为是无情、坚决和个人主义的。外科教育通常优先考虑教学方法，这些方法延续了这些观念。在其他专业领域，让患者参与教育已经显示出在关注护理的技术和程序方面转向人文和社会方面的潜力。尽管在许多临床领域，这种方法对患者和学生都有明显的积极效果，但在加拿大，“患者作为教师”的方法尚未被广泛应用于外科教育。多伦多大学为外科住院医师开发了一个“患者作为教师”的项目，目的是强调患者的人性、外科诊断乳腺癌对患者及其家庭的心理社会影响，以及外科医生在提供以患者为中心的护理方面的社会和人文作用。我们报告了该项目的开发过程和试点课程。
