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[新冠疫情和社会危机时期医学职业价值观培训面临的挑战]

[Challenges for training medical professionalism values in times of COVID-19 and social crisis].

作者信息

Castelli-Candia Paola

机构信息

Hospital Las Higueras, Talcahuano, Chile.

出版信息

Rev Med Chil. 2022 Sep;150(9):1248-1255. doi: 10.4067/S0034-98872022000901248.

DOI:10.4067/S0034-98872022000901248
PMID:37358136
Abstract

The essence of professional education not only involves transmitting knowledge, but also values and attitudes for a practice that allows us to face changing global and national scenarios. Physicians are currently facing new challenges derived from the impacts of the pandemic as well as the social crisis. Increased workload, limited access to health systems, economic uncertainty, and increased public scrutiny hamper physicians to fulfill their responsibilities to patients and society. Likewise, digital learning and few opportunities for face-to-face practice during the pandemic abruptly altered the training process for students and residents. In this essay, teaching of medical professionalism and its values is reviewed, considering the challenges posed by new social and healthcare contexts fort the future professional behavior. This commitment, however, requires not only ethical values but also humanism and social commitment. Medical professionalism acts as a stabilizing and morally protective social force. Thus, it is critical to fathom essential values of professionalism that characterize medical practice today. Indeed, the explicit incorporation of these values in undergraduate and postgraduate programs will undoubtedly allow the training of better professionals for the practice of medicine. (Rev Med Chile 2022; 150: 1248-1255).

摘要

专业教育的本质不仅包括传授知识,还包括培养价值观和态度,以便我们能够应对不断变化的全球和国家形势。目前,医生们正面临着由疫情影响以及社会危机带来的新挑战。工作量增加、医疗系统的可及性有限、经济不确定性以及公众监督的增加,都阻碍了医生履行其对患者和社会的责任。同样,在疫情期间,数字学习以及面对面实践机会的减少,突然改变了学生和住院医师的培训过程。在本文中,我们回顾了医学职业精神及其价值观的教学,同时考虑到新的社会和医疗背景对未来职业行为所带来的挑战。然而,这种承诺不仅需要道德价值观,还需要人文主义和社会责任感。医学职业精神是一种稳定且具有道德保护作用的社会力量。因此,深入理解当今医学实践所特有的职业精神的基本价值观至关重要。事实上,将这些价值观明确纳入本科和研究生课程无疑将培养出更优秀的医学从业者。(《智利医学杂志》2022年;150: 1248 - 1255)

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