Miyamasu Flaminia
Medical English Communications Center, Faculty of Medicine, University of Tsukuba, Tennodai 1-1-1, Tsukuba, Ibaraki 305-8577 Japan.
Med Sci Educ. 2020 Jul 24;30(3):1083-1094. doi: 10.1007/s40670-020-01019-7. eCollection 2020 Sep.
Metaphor analysis is a useful tool for uncovering tacit assumptions and beliefs. In education, metaphor analysis of students' attitudes and motivations can provide useful insights for educational discourse and curriculum development. The current metaphor analysis of Japanese entry-level medical students' conceptualizations of their future profession of physician was conducted to determine what insights might be derived therefrom for medical educational discourse and curriculum development. For the analysis, the students filled in the blanks of a metaphorical statement, , and the metaphors thus collected were coded using content analysis procedures. Ninety-one metaphorical statements were included for analysis. Two generic-level conceptual metaphors were identified: (49/91, 53.8%), in which metaphors relating to family members were predominant (25/49, 51.0%), and , in which just over half of the metaphors related to a super being (22/42, 52.3%). The predominantly positive metaphors elicited by this study reflect high levels of idealism in this group of students about to embark on their medical studies. However, the high number of metaphors relating the physician to a super being emphasizes the need for space in the medical curriculum devoted to discussion of the realities of uncertainty and fallibility in medical care. Extrapolating more broadly, metaphor analysis may be used in other areas of the medical profession, such as for exploring values and beliefs about medical practice and for comparing cross-cultural perspectives in medical teams composed of members from different countries.
隐喻分析是揭示隐性假设和信念的有用工具。在教育领域，对学生态度和动机进行隐喻分析可为教育话语及课程开发提供有益见解。本次对日本医学本科新生对未来医生职业概念的隐喻分析，旨在确定能从中获得哪些对医学教育话语及课程开发有益的见解。分析时，学生们填写一个隐喻陈述的空白处，然后使用内容分析程序对收集到的隐喻进行编码。共纳入91条隐喻陈述进行分析。识别出两个通用层面的概念隐喻：（49/91，53.8%），其中与家庭成员相关的隐喻占主导（25/49，51.0%），以及 ，其中超过一半的隐喻与一个超凡存在相关（22/42，52.3%）。本研究引发的主要为积极的隐喻反映出这组即将开始医学学习的学生具有高度理想主义。然而，将医生与超凡存在相关的隐喻数量众多，凸显了医学课程中需要留出空间来讨论医疗护理中不确定性和易犯错性这些现实情况。更广泛地推断，隐喻分析可用于医学专业的其他领域，比如探索关于医疗实践的价值观和信念，以及比较由来自不同国家的成员组成的医疗团队中的跨文化观点。
