McGovern Center for Humanities and Ethics, 6431 Fannin Street, JJL 351, Houston, TX, 77030, USA.
Vanderbilt University Medical Center, Nashville, TN, USA.
J Relig Health. 2021 Dec;60(6):4500-4520. doi: 10.1007/s10943-021-01325-3. Epub 2021 Jul 10.
Medical schools are charged to deliver a curriculum on religion and spirituality (R/S), so a novel experiential course, the Sacred Sites of Houston, was developed. Sixty students completed the course consisting of 6 site visits. Post-course, participants described more general knowledge and knowledge of how each faith tradition describes medicine and health (p < 0.05 for all) except for Catholicism (p = 0.564 and p = 0.058). Ten course participants and 6 control non-course participants were interviewed following clinical rotations to assess the impact of the experiential course on R/S in the clinical setting. Themes from qualitative interviews such as R/S, barriers, interactions, and the course impact emerged. The importance of R/S in the patient-provider relationship and end-of-life care was prominent in course participant interviews compared to non-course participant control subjects. Participation in the course resulted in increased chaplain engagement and significant personal impact. These qualitative and quantitative findings indicate that an experiential course may be effective at addressing the deficit in R/S undergraduate medical education and help enhance the spiritually and religiously competent care of patients.
医学院被要求开设宗教和精神（R/S）课程，因此开发了一门新颖的体验式课程，即休斯顿圣地之旅。60 名学生完成了该课程，包括 6 次实地考察。课后，参与者描述了更多的一般知识以及每种信仰传统如何描述医学和健康的知识（p<0.05，均），除了天主教（p=0.564 和 p=0.058）。在临床轮转后，对 10 名课程参与者和 6 名非课程对照组参与者进行了访谈，以评估体验式课程对临床环境中 R/S 的影响。从定性访谈中出现了 R/S、障碍、互动和课程影响等主题。与非课程对照组受试者相比，课程参与者的访谈中突出了 R/S 在医患关系和临终关怀中的重要性。参与课程导致牧师的参与度增加，个人影响显著。这些定性和定量发现表明，体验式课程可能在解决宗教和精神本科医学教育的不足方面有效，并有助于提高对患者的精神和宗教能力的护理。
