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医学学习环境中的正念:对学习困难的学生来说是一个机会吗?

Mindfulness in the Medical Learning Environment: An Opportunity for the Struggling Learner?

作者信息

Vipler Benjamin, Williams Emmanuelle

机构信息

Division of Hospital Medicine, University of Colorado Hospital, 12401 E 17th Ave, Leprino, Mail Stop F-782, Aurora, CO 80045 USA.

University of Colorado School of Medicine, Aurora, CO USA.

出版信息

Med Sci Educ. 2024 Jul 17;34(6):1513-1519. doi: 10.1007/s40670-024-02115-8. eCollection 2024 Dec.

DOI:10.1007/s40670-024-02115-8
PMID:39758469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11699173/
Abstract

UNLABELLED

Mindfulness is defined as nonjudgmentally and purposefully paying attention in the present moment. Mindfulness may be a valuable tool in the remediation armamentarium, useful in bringing attention to an individual's struggles. However, such application has largely been unexplored. In this essay, we provide a conceptual framework for future empirical study of mindfulness interventions for struggling medical learners. We review literature on mindfulness interventions in medical education at-large, apply them to the struggling medical learner, discuss limitations to mindful practice, and provide recommendations that will help faculty assigned to struggling learners be mindful themselves to optimally function in these roles.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40670-024-02115-8.

摘要

未标注

正念被定义为不加评判且有目的地关注当下。正念可能是补救手段中的一种宝贵工具,有助于关注个体的困境。然而,这种应用在很大程度上尚未得到探索。在本文中,我们为未来针对苦苦挣扎的医学学习者的正念干预实证研究提供了一个概念框架。我们回顾了关于医学教育中广泛的正念干预的文献,将其应用于苦苦挣扎的医学学习者,讨论正念练习的局限性,并提供建议,以帮助负责指导苦苦挣扎的学习者的教师自身保持正念,从而在这些角色中发挥最佳作用。

补充信息

在线版本包含可在10.1007/s40670-024-02115-8获取的补充材料。

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本文引用的文献

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Resident Physician Perspectives on Mindfulness Education in Residency: A Multispecialty Qualitative Assessment of Clinical Care Impact.住院医师对住院期间正念教育的看法:对临床护理影响的多专业定性评估。
J Grad Med Educ. 2023 Jun;15(3):356-364. doi: 10.4300/JGME-D-22-00492.1. Epub 2023 Jun 14.
2
School-based mindfulness training in early adolescence: what works, for whom and how in the MYRIAD trial?青少年早期基于学校的正念训练:在MYRIAD试验中,什么有效、对谁有效以及如何有效?
Evid Based Ment Health. 2022 Jul 12;25(3):117-24. doi: 10.1136/ebmental-2022-300439.
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Mistreatment in Residency: Intervening With the REWIND Communication Tool.住院医师遭受虐待:使用 REWIND 沟通工具进行干预。
MedEdPORTAL. 2022 Apr 26;18:11245. doi: 10.15766/mep_2374-8265.11245. eCollection 2022.
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The effects of body scan meditation: A systematic review and meta-analysis.身体扫描冥想的效果:系统评价和荟萃分析。
Appl Psychol Health Well Being. 2022 Aug;14(3):1062-1080. doi: 10.1111/aphw.12366. Epub 2022 May 10.
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Graduate Medical Education "Trainee in difficulty" current remediation practices and outcomes.医学研究生教育“困境医学生”的现行矫正实践与效果。
Am J Surg. 2022 Aug;224(2):796-808. doi: 10.1016/j.amjsurg.2021.12.031. Epub 2021 Dec 30.
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Mindfulness Meditation for Medical Students: a Student-Led Initiative to Expose Medical Students to Mindfulness Practices.医学生的正念冥想:一项由学生主导的让医学生接触正念练习的倡议。
Med Sci Educ. 2019 Feb 19;29(2):439-451. doi: 10.1007/s40670-019-00708-2. eCollection 2019 Jun.
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Twelve tips for mindful teaching and learning in medical education.医学教育中正念教学和学习的 12 个技巧
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Walking and mindfulness improve the exercise capacity of patients with chronic obstructive pulmonary disease: A randomised controlled trial.行走和正念改善慢性阻塞性肺疾病患者的运动能力:一项随机对照试验。
Clin Rehabil. 2021 Aug;35(8):1117-1125. doi: 10.1177/0269215521992917. Epub 2021 Mar 11.
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Psychol Aging. 2021 Aug;36(5):642-659. doi: 10.1037/pag0000596. Epub 2021 Feb 25.
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