Schairer Cynthia E, Tutjer Jenna, Cannavino Christopher, Mobley William C, Eyler Lisa, Bloss Cinnamon S
T. Denny Sanford Institute for Empathy and Compassion, University of California San Diego, La Jolla, CA, USA.
Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, USA.
J Patient Exp. 2022 Aug 4;9:23743735221117383. doi: 10.1177/23743735221117383. eCollection 2022.
Compassion in interactions between physicians and patients can have a therapeutic effect independent of the technical medical treatment provided. However, training physicians to effectively communicate compassion is challenging. This study explores how medical students experienced training focused on interacting with patients by examining students' reports of particularly memorable lessons. Six focus groups were conducted with medical students (total n = 48) in their fourth year of training. We report on responses from students to the question, "What was the most memorable lesson you have learned about interacting with patients?" Students discussed lessons aimed at patient-centered physical navigation, interpersonal navigation, and perspective taking. Concerns were raised that navigation techniques felt inauthentic and that perspective taking was too time consuming to be sustainable in actual practice. While perspective-taking exercises should motivate medical students to treat every patient with dignity by demonstrating the complexity of others' lives, if students assume that full understanding is a prerequisite to delivery of compassionate care, they may dismiss explicit techniques of patient-centered care as inauthentic and perceive compassion and efficiency as mutually exclusive.
医生与患者互动中的同情心能够产生一种独立于所提供的技术医疗治疗的治疗效果。然而，培训医生有效地传达同情心具有挑战性。本研究通过检查学生关于特别难忘课程的报告，探讨医学生如何体验专注于与患者互动的培训。对处于培训第四年的医学生（共48名）进行了六个焦点小组访谈。我们报告学生对“你学到的关于与患者互动的最难忘的课程是什么？”这个问题的回答。学生们讨论了旨在以患者为中心的身体引导、人际引导和换位思考的课程。有人担心引导技巧感觉不真实，并且换位思考在实际操作中耗时过长，难以持续。虽然换位思考练习应通过展示他人生活的复杂性来激励医学生尊重每一位患者，但如果学生认为完全理解是提供富有同情心的护理的先决条件，他们可能会将以患者为中心的护理的明确技巧视为不真实，并将同情心和效率视为相互排斥的。
