衡量住院医师的“人文精神”。

Measuring "humanism" in medical residents.

作者信息

Merrill J M, Boisaubin E V, Laux L, Lynch E C, Roessler R, Thornby J I

出版信息

South Med J. 1986 Feb;79(2):141-4. doi: 10.1097/00007611-198602000-00003.

DOI:10.1097/00007611-198602000-00003

Abstract

The American Board of Internal Medicine (ABIM) has charged directors of residency programs with evaluating "humanistic attributes" in residents seeking certification. To investigate whether traditional measures of residents' performance assess humanistic attributes, 38 second- and third-year medical residents completed the Totalitarian-Authoritarian-Dogmatism (TAD) and Rokeach tests for attitudinal assessment. Five primary sources were used to measure performance. When the measures of performance and attitude were correlated, two negative correlations with "antipathy toward patients" were found: professional maturity (r = -.43, P less than .01) and compassion and concern for patients (r = -.35, P less than .04). The TAD Opinionnaire and the special performance evaluation detect "nonhumanistic dimensions" that routine faculty assessments do not. Since the new Likert scale distributed by ABIM does not differ materially from the rating form used at Baylor for 2 1/2 years, it is unlikely that "humanistic attributes" will be measured by the ABIM's new scale.

摘要

美国内科医学委员会（ABIM）已要求住院医师培训项目主任对寻求认证的住院医师的“人文属性”进行评估。为了调查住院医师表现的传统衡量指标是否能评估人文属性，38名二、三年级医学生完成了极权主义-权威主义-教条主义（TAD）和罗基奇态度评估测试。使用了五个主要来源来衡量表现。当表现和态度的衡量指标进行关联分析时，发现与“对患者的反感”存在两个负相关：专业成熟度（r = -0.43，P < 0.01）以及对患者的同情和关心（r = -0.35，P < 0.04）。TAD问卷和特殊表现评估能检测出常规教师评估未发现的“非人文维度”。由于ABIM分发的新李克特量表与贝勒医学院使用了两年半的评分表在本质上没有差异，因此ABIM的新量表不太可能衡量出“人文属性”。