Maurana Cheryl A, Fritz Jeffery D, Witten Alicia A, Williams Sarah E, Ellefson Kimara A
Kern National Network for Flourishing in Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Med Teach. 2024 Dec;46(12):1539-1543. doi: 10.1080/0142159X.2024.2412791. Epub 2024 Oct 31.
Over the past 15 years, multiple calls to transform medical education, and by extension, health sciences education, have addressed issues pertaining to learners' subjective experiences as well as the learning environment. By and large, these calls to transform share many of the same themes: greater engagement with the humanities, enhanced professional identity formation, leadership development, as well as systemic changes to enhance meaning, purpose, and belonging. However, the many initiatives and reforms underway in medical education have yet to fully reach their desired outcomes - particularly those focused on enhancing meaning, purpose, and belonging. We suggest that calls to transform medical education can be unified and guided by focusing on the promotion of human flourishing. Briefly, we define human flourishing as an aspirational objective enabling one to reach a state of 'wholeness-of being and doing, of realizing one's potential and helping others do the same.' We share our implications of a flourishing guided medical education journey for medical students, residents, and faculty.
在过去的15年里,多次呼吁变革医学教育,进而变革健康科学教育,这些呼吁涉及学习者的主观体验以及学习环境等问题。总体而言,这些变革呼吁有许多共同主题:更多地融入人文学科、加强职业身份形成、领导力发展,以及进行系统性变革以增强意义、目的和归属感。然而,医学教育中正在进行的众多举措和改革尚未完全达到预期成果——尤其是那些专注于增强意义、目的和归属感的改革。我们建议,通过关注促进人类繁荣,可以使变革医学教育的呼声得到统一和引导。简而言之,我们将人类繁荣定义为一个理想目标,使一个人能够达到“存在与行为的完整性、实现自身潜力并帮助他人实现同样目标”的状态。我们分享了以繁荣为导向的医学教育之旅对医学生、住院医师和教师的启示。