University of Michigan, Michigan, USA.
University of North Carolina at Chapel Hill, North Carolina, USA.
BMC Med Educ. 2022 Sep 7;22(1):663. doi: 10.1186/s12909-022-03721-z.
There are many ways that students and trainees learn to talk about patients. The way trainees and physicians use language during clinical care is important, as labeling patients can have adverse effects on patient safety. Communication is considered a core competency by The Accreditation Council on Graduate Medical Education (ACGME). Past research has shown that participants in narrative medicine curricula report developing stronger communication skills however it is not clear how these workshops motivated trainees to use language differently during patient care. To explore this, we interviewed second-year residents in academic year 19-20 about their experiences both in participating in narrative medicine workshops and giving patient care.
The framing context for this constructivist thematic analysis is a series of narrative medicine workshops facilitated for interns in an internal medicine residency program at a large academic medical center during the 18-19 academic year. We developed a semi-structured interview study that allowed residents to reflect on their experiences in these workshops. Eighteen out of 60 residents (30%) were interviewed.
We found that sessions regarding language use in patient care shaped how interns thought about and used language during clinical work, a finding that arose spontaneously during interviews.
Our research suggests that workshops aimed specifically at addressing the use of language in healthcare can have meaningful impact on trainees. Our study makes a unique contribution to the scholarship by suggesting that training in narrative medicine can lead to a change in the way that trainees use language during their clinical work.
学生和受训者有很多学习谈论患者的方式。受训者和医生在临床护理中使用语言的方式很重要，因为给患者贴标签会对患者安全产生不良影响。沟通能力被研究生医学教育认证委员会（ACGME）视为核心能力。过去的研究表明，参与叙事医学课程的参与者报告说他们的沟通技巧有所增强，但尚不清楚这些研讨会如何激励受训者在患者护理中使用不同的语言。为了探讨这一点，我们在 19-20 学年采访了二年级住院医师，了解他们在参与叙事医学研讨会和提供患者护理方面的经验。
本构主义主题分析的框架背景是在一个大型学术医疗中心的内科住院医师培训计划中，为实习医生举办的一系列叙事医学研讨会。我们进行了一项半结构化访谈研究，让住院医师反思他们在这些研讨会上的经验。在 60 名住院医师中有 18 名（30%）接受了采访。
我们发现，关于在患者护理中使用语言的课程影响了实习医生在临床工作中思考和使用语言的方式，这一发现是在访谈中自发出现的。
我们的研究表明，专门针对医疗保健中语言使用的研讨会可以对受训者产生有意义的影响。我们的研究通过表明叙事医学培训可以导致受训者在临床工作中使用语言的方式发生变化，为学术研究做出了独特的贡献。
