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在一所国际医学院校中采用具有文化胜任力的方法教授人文学科:潜在框架及经验教训

A culturally competent approach to teaching humanities in an international medical school: potential frameworks and lessons learned.

作者信息

Daher-Nashif Suhad, Kane Tanya

机构信息

The College of Medicine, QU Health, Qatar University, Doha, 2713, Qatar.

出版信息

MedEdPublish (2016). 2022 May 11;12:6. doi: 10.12688/mep.18938.2. eCollection 2022.

Abstract

: This paper describes the development of a culturally competent medical humanities course for second and third-year medical students at the ethnically diverse College of Medicine at Qatar University. First taught in 2016, the elective seminar "Medicine and the Arts" was restructured in 2017 to cultivate an appreciation of the symbiotic relationship between medicine, art, and humanities, and to foster cultural competence among the students. : Results and tips are based on our experiences and past reports. : In designing a course for students immersed in an Arab-Muslim context, we encountered two challenges: the discipline's privileging of a predominantly Western canon of arts and humanities, and the largely Euro-American-centric and unilateral framing of concepts e.g., the doctor-patient relationship, patient-centered approach, patient experiences, and meanings of health and illness. To circumvent these challenges, we followed the Purnell Model for Cultural Competence, adopted the interdisciplinary approach, and employed an intersectionality framework to build and deliver a culturally competent course exploring the nexus of arts, humanities, and medicine. In addition to these tips on which frameworks to adopt and how to structure the course, we recommend a visual literacy workshop to help them develop the ability to recognize and understand ideas conveyed through art. Furthermore, we recommend deep conversations about artistic portrayals of medicine from different cultural contexts as tools for developing cultural awareness. Lastly, we recommend that these discussions adopt a student-centered approach, where students inform about their experiences and their own health and illness determinants, in order to develop their knowledge and practice of holism and patient centered approach, and other issues related to humanities and social sciences.      Adopting and implementing a culturally competent approach to medical education, alongside interdisciplinary and intersectionality concepts, are potential conceptual frameworks to structure a course that uses art to inform about medical humanities.

摘要

本文介绍了为卡塔尔大学医学院种族多元化的二、三年级医学生开发的一门具有文化胜任力的医学人文学课程。选修研讨课“医学与艺术”于2016年首次授课,并于2017年进行了重组,以培养对医学、艺术和人文学科之间共生关系的欣赏,并培养学生的文化胜任力。结果和建议基于我们的经验和以往报告。在为沉浸于阿拉伯 - 穆斯林背景的学生设计课程时,我们遇到了两个挑战:该学科对以西方为主导的艺术和人文学科经典的偏爱,以及诸如医患关系、以患者为中心的方法、患者体验以及健康和疾病的意义等概念在很大程度上以欧美为中心的片面框架。为了规避这些挑战,我们遵循了文化胜任力的普尔内尔模型,采用了跨学科方法,并运用了交叉性框架来构建和提供一门具有文化胜任力的课程,探索艺术、人文学科和医学的联系。除了这些关于采用何种框架以及如何构建课程的建议外,我们推荐举办一个视觉素养工作坊,以帮助他们培养识别和理解通过艺术传达的思想的能力。此外,我们建议就来自不同文化背景的医学艺术描绘进行深入对话,作为培养文化意识的工具。最后,我们建议这些讨论采用以学生为中心的方法,让学生讲述他们的经历以及他们自身健康和疾病的决定因素,以便培养他们对整体论和以患者为中心方法的知识和实践,以及与人文和社会科学相关的其他问题。采用并实施一种具有文化胜任力的医学教育方法,以及跨学科和交叉性概念,是构建一门利用艺术来传授医学人文学科课程的潜在概念框架。

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