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巴林特小组能填补医学课程的空白吗?

Can Balint groups fill a gap in medical curricula?

作者信息

Gajree Neera

机构信息

Department of Medical Education, NHS Lanarkshire, Scotland, UK.

出版信息

Clin Teach. 2021 Apr;18(2):158-162. doi: 10.1111/tct.13298. Epub 2020 Oct 19.

Abstract

BACKGROUND

Emotions play a fundamental role in the professional development of doctors. Teaching medical students about the role of emotions in illness and relationships with patients can be challenging. Balint groups involve a case presentation and discussion focussed on the emotional component of patient interactions. This study aimed to assess whether a Balint group helped medical students to gain a better understanding of the role of emotions in the doctor-patient relationship, and whether students believed that the group provided a valuable educational opportunity.

METHODS

Voluntary 5-week Balint groups were offered to third, fourth and fifth year medical students on clinical placement at University Hospital Hairmyres. The traditional Balint group format was adhered to. Participating students were asked to complete an anonymous questionnaire following the final group session.

RESULTS

Sixteen medical students participated in the Balint groups, and they all completed the questionnaire. The majority of students agreed that the groups helped them to think about the place of emotions in patient encounters, and provided a useful space to think about the doctor-patient relationship. Most students agreed that participating in a Balint group was an important part of their training as a doctor. Students overwhelmingly indicated that Balint groups provide an aspect of training that is not currently addressed elsewhere in the medical student curriculum.

CONCLUSION

Balint groups provide an effective means of educating students about the role of emotions in the doctor-patient relationship. They are largely valued by students as providing a relevant component of their medical education.

摘要

背景

情绪在医生的职业发展中起着至关重要的作用。向医学生传授情绪在疾病及医患关系中的作用可能具有挑战性。巴林特小组活动包括病例展示和讨论,重点关注医患互动中的情感因素。本研究旨在评估巴林特小组活动是否有助于医学生更好地理解情绪在医患关系中的作用,以及学生是否认为该小组活动提供了宝贵的教育机会。

方法

向在海尔迈尔斯大学医院临床实习的三年级、四年级和五年级医学生提供为期5周的自愿巴林特小组活动。活动遵循传统的巴林特小组形式。参与的学生在最后一次小组活动后被要求填写一份匿名问卷。

结果

16名医学生参加了巴林特小组活动,他们都完成了问卷。大多数学生同意该小组活动帮助他们思考情绪在医患接触中的位置,并提供了一个思考医患关系的有用空间。大多数学生同意参加巴林特小组活动是他们作为医生培训的重要组成部分。学生们压倒性地表示,巴林特小组活动提供了医学生课程其他地方目前未涉及的培训内容。

结论

巴林特小组活动为学生提供了一种有效的方式,使其了解情绪在医患关系中的作用。学生们高度重视该活动,认为它是医学教育的一个相关组成部分。

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