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人文学科在医学课程中的作用:医学生的观点。

The role of humanities in the medical curriculum: medical students' perspectives.

作者信息

Petrou Loukia, Mittelman Emma, Osibona Oluwapelumi, Panahi Mona, Harvey Joanna M, Patrick Yusuf A A, Leedham-Green Kathleen E

机构信息

Imperial College School of Medicine, Imperial College London, South Kensington Campus, Sir Alexander Fleming Building, London, SW7 2DD, UK.

出版信息

BMC Med Educ. 2021 Mar 24;21(1):179. doi: 10.1186/s12909-021-02555-5.

Abstract

BACKGROUND

The humanities have long been shown to play an important role in the medical school curriculum. However, few studies have looked into the opinions of medical students on the usefulness and necessity of the humanities as well as their extracurricular involvement with them. The aim of this study was to: a) understand medical students' attitude towards the humanities in medical education and b) assess their understanding of the necessary qualities of doctors and how interaction with the humanities affects the development of such attributes.

METHODS

A mixed methods survey was designed to elicit demographics, engagement, interest and perspective on curricular positioning, and to explore how students ranked the qualities of a doctor. It was distributed to medical students of all year groups in the 6-year bachelor of medicine, bachelor of surgery (MBBS) course at Imperial College London.

RESULTS

One hundred nine fully completed questionnaires were received. No significant difference was found in engagement or interest in the humanities between genders. Students felt strongly that humanities subjects shouldn't be assessed (71:18) though some felt it was necessary for engagement, while no consensus was reached on whether these subjects should be elective or not (38:31). The majority of students wanted more medical humanities to be incorporated into the traditional medical course with a preference of incorporation into the first 3 years. Junior medical students were more likely to rank empathy as a highly desirable attribute than senior students. Students provided qualitative insights into curricular positioning, assessment and value.

CONCLUSIONS

This study provides the perspective of medical students on how and whether the humanities should be positioned in medical education. It may be helpful to medical schools that are committed to student involvement in curriculum design.

摘要

背景

长期以来,人文学科在医学院课程中发挥着重要作用。然而,很少有研究探讨医学生对人文学科的有用性和必要性的看法,以及他们在课外对人文学科的参与情况。本研究的目的是:a)了解医学生对医学教育中人文科学的态度;b)评估他们对医生必备素质的理解,以及与人文科学的互动如何影响这些素质的发展。

方法

设计了一项混合方法调查,以获取人口统计学信息、参与情况、兴趣以及对课程定位的看法,并探讨学生如何对医生的素质进行排名。该调查分发给了伦敦帝国理工学院6年制医学学士、外科学士(MBBS)课程各年级的医学生。

结果

共收到109份完整填写的问卷。在对人文学科的参与度或兴趣方面,未发现性别之间存在显著差异。学生们强烈认为人文学科不应进行评估(71:18),尽管有些人认为进行评估对于参与是必要的,而对于这些学科是否应该作为选修课,未达成共识(38:31)。大多数学生希望将更多的医学人文内容纳入传统医学课程,并且倾向于在前三年纳入。低年级医学生比高年级学生更有可能将同理心列为非常理想的特质。学生们对课程定位、评估和价值提供了定性见解。

结论

本研究提供了医学生关于人文学科应如何以及是否应在医学教育中定位的观点。这可能对致力于让学生参与课程设计的医学院有所帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/225f/7992827/c65648fc4f37/12909_2021_2555_Fig1_HTML.jpg

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