Dubé Tim, Boucher Marie-Christine, Champagne Louise, Garand Marie-Ève, Rinfret Joanie
Département de médecine de famille et de médecine d'urgence, Université de Sherbrooke, Quebec, Canada.
Can Med Educ J. 2022 Mar 22;13(1):65-74. doi: 10.36834/cmej.72643. eCollection 2022 Mar.
The COVID-19 pandemic is an event that deeply impacts our personal, professional, and collective lives. How do we teach in these times of great upheaval? What are the main changes that have occurred?
Using the Cartel logic, four professors and a qualitative researcher carried out an autoethnographic research aimed at documenting the main changes that have occurred in the teaching of family medicine in their respective practices located in four different academic family medicine groups at the University of Sherbrooke.
Five key moments in teaching that occurred during a pandemic were identified: a) the declaration of a pandemic, b) the approach with the graduating/advanced cohort of residents, c) the anticipation and preparation for the arrival of new residents, d) arrival of first year residents and e) adaptation to the second wave. For each moment, we present the issues encountered in our care and teaching practices under three transversal relational axes: the relationship of humans to their cultural context, the patient-doctor relationship, and the teacher-resident relationship.
Our analysis shows that the transmission of medical knowledge and the art of medicine cannot take place without specific attention to the overall cultural context, the contextual relationship of clinical care, and the teaching relationship. Our study also makes it possible to recommend the opening of spaces for reflection and dialogue in our teaching environments.
新冠疫情是一场深刻影响我们个人、职业和集体生活的事件。在这些动荡时期我们该如何教学?发生了哪些主要变化?
四位教授和一位定性研究人员运用卡特尔逻辑开展了一项自我民族志研究,旨在记录在舍布鲁克大学四个不同学术家庭医学组各自的实践中,家庭医学教学发生的主要变化。
确定了疫情期间教学中的五个关键时刻:a)疫情宣告,b)与即将毕业/高年级住院医师群体的接触,c)对新住院医师到来的预期和准备,d)一年级住院医师的到来,以及e)适应第二波疫情。对于每个时刻,我们在三个横向关系轴下呈现了我们在医疗和教学实践中遇到的问题:人类与其文化背景的关系、医患关系以及师生关系。
我们的分析表明,医学知识的传授和医学艺术的传承离不开对整体文化背景、临床护理的情境关系以及教学关系的特别关注。我们的研究还使得在我们的教学环境中推荐开设反思和对话空间成为可能。