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住院医师培训中的医学人文:中国一家大型综合医院特定课程的试点研究

Medical Humanities in Resident Training: A Pilot Study of Specific Courses in a Large Comprehensive Hospital in China.

作者信息

Yang Xiaoyun, Guo Lifang, Chen Xiaoxiong, Zhang Ju, Xiang Qiang

机构信息

Clinical Skills Training Center, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.

Department of Emergency, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.

出版信息

J Med Educ Curric Dev. 2024 Dec 18;11:23821205241307444. doi: 10.1177/23821205241307444. eCollection 2024 Jan-Dec.

Abstract

BACKGROUND

The importance of integrating humanities into medical education has been recognized. However, the medical humanities curriculum is usually lacking during standardized training for residents in China. This study aims to determine the feasibility and effectiveness of pilot-specific courses in medical humanities in standardized residency training.

METHODS

We designed specific courses in medical humanities, composed of 3 courses: Identifying and Managing Common Psychological Disorders of Patients, Patient-Clinician Communication, and Medical Dispute Cases Analysis and Resolution. The courses were scheduled monthly throughout the one semester, and a total of 118 residents participated in the curriculum. Participants completed the evaluation containing ethic-legal knowledge and humanistic competencies related to course content before and after the curriculum.

RESULTS

Most participant residents had a bachelor's degree (85.6%) and were in the first year of standardized residency training (61.0%). Their disciplinary backgrounds are diverse, encompassing 18 different clinical medical specialties. The residents' average scores of postcourse self-assessments keep a steady increase in humanistic competencies compared with precourse average scores. All postcourse self-assessments showed significant improvement compared to precourse ( < .05), particularly in influential communication skills and diagnostic associations of processing ability.

CONCLUSION

The specific courses in medical humanities are feasible and effective in teaching residents in China. The pre-post course evaluation indicates that this humanities-based curriculum significantly improved residents' ethic-legal knowledge and humanistic competencies during standardized residency training.

摘要

背景

人文融入医学教育的重要性已得到认可。然而,中国住院医师规范化培训期间通常缺乏医学人文课程。本研究旨在确定医学人文特定课程在住院医师规范化培训中的可行性和有效性。

方法

我们设计了医学人文特定课程,由3门课程组成:识别和处理患者常见心理障碍、医患沟通、医疗纠纷案例分析与解决。这些课程在整个一学期内每月安排一次,共有118名住院医师参加了该课程。参与者在课程前后完成了包含与课程内容相关的伦理法律知识和人文能力的评估。

结果

大多数参与的住院医师拥有本科学历(85.6%),处于住院医师规范化培训的第一年(61.0%)。他们的学科背景多样,涵盖18个不同的临床医学专业。与课前平均分数相比,住院医师课程后自我评估的人文能力平均分数持续稳步提高。与课前相比,所有课程后的自我评估均显示出显著改善(<0.05),尤其是在有影响力的沟通技巧和诊断关联处理能力方面。

结论

医学人文特定课程在中国住院医师教学中是可行且有效的。课程前后评估表明,这一基于人文的课程在住院医师规范化培训期间显著提高了住院医师的伦理法律知识和人文能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b483/11656443/505f955757bd/10.1177_23821205241307444-fig1.jpg

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