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住院医师培训的全过程宛如一个舞台:培养学员的真实性与个性。

All of Residency's a Stage: Fostering Authenticity and Individuality Among Learners.

作者信息

Kilian Alexandra, Do Victor, Sonnenberg Lyn K

机构信息

Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, ON Canada.

Department of Paediatrics and Office of Education, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB Canada.

出版信息

Med Sci Educ. 2022 Dec 20;33(1):243-245. doi: 10.1007/s40670-022-01700-z. eCollection 2023 Feb.

DOI:10.1007/s40670-022-01700-z
PMID:37008435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10060602/
Abstract

Understanding the process of professional identity formation, and its susceptibility to the hidden curriculum, is of increasing importance in medical education. Through a lens of performance, this commentary explores the impact of the culture, the hidden curriculum, and the socialization process of the medical training environment on the professional identity formation of learners. We emphasize the need to train physicians with diverse interests and skills, capable of creative problem solving in response to the rapidly evolving challenges facing the profession and society more broadly. Opportunities for learners to drive cultural change and promote authenticity and unique professional identity formation are identified.

摘要

了解职业身份形成的过程及其对隐性课程的敏感性,在医学教育中变得越来越重要。通过表现的视角,本评论探讨了医学培训环境的文化、隐性课程和社会化过程对学习者职业身份形成的影响。我们强调需要培养具有不同兴趣和技能的医生,他们能够创造性地解决问题,以应对该职业以及更广泛社会面临的快速演变的挑战。文中还确定了让学习者推动文化变革以及促进真实性和独特职业身份形成的机会。

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本文引用的文献

1
Making it "More Real": Using Personal Narrative in Faculty Feedback to a Medical Student's Reflective Writing - An Illustrative Exemplar.使其“更具真实性”:在教师对医学生反思性写作的反馈中运用个人叙事——一个示例
MedEdPublish (2016). 2018 Aug 14;7:171. doi: 10.15694/mep.2018.0000171.1. eCollection 2018.
2
Medical Student Psychological Distress and Mental Illness Relative to the General Population: A Canadian Cross-Sectional Survey.医学生心理困扰和精神疾病与普通人群的关系:一项加拿大横断面调查。
Acad Med. 2019 Nov;94(11):1781-1791. doi: 10.1097/ACM.0000000000002958.
3
An Intervention Framework for Institutions to Meet New ACGME Common Program Requirements for Physician Well-Being.机构满足美国毕业后医学教育认证委员会(ACGME)关于医生职业福祉新共同项目要求的干预框架。
Acad Psychiatry. 2018 Aug;42(4):542-547. doi: 10.1007/s40596-018-0882-x. Epub 2018 Feb 22.
4
Medicine: in need of culture change.医学:需要文化变革。
Intern Med J. 2016 Jan;46(1):112-6. doi: 10.1111/imj.12954.
5
Humanism, the Hidden Curriculum, and Educational Reform: A Scoping Review and Thematic Analysis.人文主义、隐性课程与教育改革:一项范围综述与主题分析
Acad Med. 2015 Nov;90(11 Suppl):S5-S13. doi: 10.1097/ACM.0000000000000894.
6
Professional identity (trans)formation in medical education: reflection, relationship, resilience.医学教育中的职业身份(转变):反思、关系、适应力
Acad Med. 2015 Jun;90(6):701-6. doi: 10.1097/ACM.0000000000000731.
7
Reflections: an inquiry into medical students' professional identity formation.反思:对医学生专业身份形成的探究。
Med Educ. 2014 May;48(5):489-501. doi: 10.1111/medu.12382.
8
Mentorship and pursuit of academic medicine careers: a mixed methods study of residents from diverse backgrounds.导师指导和追求学术医学职业:一项对来自不同背景的住院医师的混合方法研究。
BMC Med Educ. 2014 Feb 9;14:26. doi: 10.1186/1472-6920-14-26.
9
Developing a sustainable electronic portfolio (ePortfolio) program that fosters reflective practice and incorporates CanMEDS competencies into the undergraduate medical curriculum.开发一个可持续的电子档案袋(ePortfolio)计划,以促进反思实践,并将 CanMEDS 能力融入本科医学课程。
Acad Med. 2012 Jun;87(6):744-51. doi: 10.1097/ACM.0b013e318253dacd.
10
Engaging students in dedicated research and scholarship during medical school: the long-term experiences at Duke and Stanford.在医学院校期间让学生参与专注的研究和学术活动:杜克大学和斯坦福大学的长期经验。
Acad Med. 2010 Mar;85(3):419-28. doi: 10.1097/ACM.0b013e3181ccc77a.