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反向反思:有组织的创意写作练习促进医学生的反思性学习。

In-verse reflection: structured creative writing exercises to promote reflective learning in medical students.

机构信息

Epworth Clinical School, Melbourne, Australia.

Australian Council for Educational Research, Melbourne, Australia.

出版信息

J Med Humanit. 2022 Sep;43(3):493-504. doi: 10.1007/s10912-022-09740-7. Epub 2022 May 20.

Abstract

Medical educators recognize the value of reflection for medical students and the role creative writing can play in fostering this. However, direct creative writing tasks can be challenging for many students, particularly those with limited experience in the arts and humanities. An alternative strategy is to utilize an indirect approach, engaging students with structured tasks that obliquely encourage reflection. This paper reports one such approach. We refer to this approach as in-verse reflection, playing on both the structure of the writing and its novel approach to reflection. Students were invited to write, in verse-like structures, about their personal and clinical experiences as medical students. Thematic analysis of their creative outputs and reactions identified four principal themes: the challenges of life as a medical student, the emotional demands of the medical course, a sense of connectedness and solidarity with fellow students, and a sense of marginality within the hospital system. Students generally found the tasks highly engaging and conducive to reflection, producing texts representing significant insights into their experiences as medical students. The reported method offers a relatively simple, structured, and guided approach to reflective writing, adding to the repertoire of methods available to educators in the medical humanities.

摘要

医学教育者认识到反思对于医学生的价值,以及创造性写作在培养反思能力方面的作用。然而,直接的创造性写作任务对于许多学生来说可能具有挑战性,尤其是那些在艺术和人文学科方面经验有限的学生。一种替代策略是采用间接方法,通过让学生参与结构严谨的任务,间接地鼓励他们进行反思。本文报告了这样一种方法。我们将这种方法称为反向反思,既体现了写作的结构,又体现了其新颖的反思方法。我们邀请学生以类似诗歌的结构,写下他们作为医学生的个人和临床经历。对他们的创意作品和反应进行主题分析,确定了四个主要主题:医学生活的挑战、医学课程的情感需求、与同学的联系感和团结感,以及在医院系统中的边缘化感。学生普遍认为这些任务非常吸引人,有助于反思,创作的文本代表了他们对医学生经历的深刻见解。所报道的方法提供了一种相对简单、结构化和有指导的反思写作方法,为医学人文教育者提供了更多的方法选择。

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