Hwang Kun, Kim Ae Yang, Yun Seon Mi
Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea.
Adv Med Educ Pract. 2020 Nov 30;11:905-909. doi: 10.2147/AMEP.S271658. eCollection 2020.
The aim of this study was to investigate medical students' thought processes regarding whether to reveal the truth about a suspected malingering patient by analysing their book reports on Shalamov's (1974).
The participants were 47 medical students in their junior year. The book was provided a month before the classroom lecture. Students had discussions in groups of 7 and wrote book reports that included answers to 3 questions.
Most students (39, 83.0%) answered that they had faked an illness previously, and abdominal pain (21, 53.8%) was the most frequently feigned illness. On the pre-reading questionnaire, 14 (29.8%) answered that they would reveal the truth by fair means or foul, whereas 15 (32.0%) would turn a blind eye to a malingering patient. On the post-reading questionnaire, however, 17 (36.2%) answered that they would reveal the truth, while 22 (46.8%) answered that they would turn a blind eye. It is notable that among the 18 students (38.2%) who replied that whether they would reveal the truth depended on the situation on the pre-reading questionnaire, 3 (6.3%) instead stated on the post-reading questionnaire that they would reveal the truth, while 7 (14.9%) answered that they would turn a blind eye. The remaining 8 (17.0%) did not change their mind and still replied that it depended on the situation.
It is thought that reading and discussing this story gave the students the opportunity to think about how to manage malingering patients, as portrayed in Shalamov's (1974).
本研究旨在通过分析医学专业学生关于沙拉莫夫（1974年）著作的读书报告，来调查他们对于是否向疑似诈病患者透露真相的思维过程。
参与者为47名大三医学专业学生。在课堂讲授前一个月提供该书。学生们以7人一组进行讨论，并撰写读书报告，其中包括对3个问题的回答。
大多数学生（39名，83.0%）回答他们曾伪装过疾病，腹痛（21名，53.8%）是最常伪装的疾病。在阅读前的问卷中，14名（29.8%）回答他们会不择手段地揭露真相，而15名（32.0%）会对诈病患者视而不见。然而，在阅读后的问卷中，17名（36.2%）回答他们会揭露真相，而22名（46.8%）回答他们会视而不见。值得注意的是，在阅读前问卷中回答是否会揭露真相取决于具体情况的18名学生（38.2%）中，3名（6.3%）在阅读后问卷中改为表示会揭露真相，而7名（14.9%）回答会视而不见。其余8名（17.0%）没有改变主意，仍然回答取决于具体情况。
据认为，阅读和讨论这个故事让学生们有机会思考如何应对如沙拉莫夫（1974年）所描绘的诈病患者。
