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对住院医师间叙事医学课程的认知

Perceptions of an Inter-Residency Narrative Medicine Curriculum.

作者信息

Zeme Molly, Zhang Renee, Buckelew Sara, Sinha Anoushka

机构信息

is a Medical Student, University of California, San Francisco (UCSF) School of Medicine, San Francisco, California, USA.

is a Medical Student, UCSF School of Medicine, San Francisco, California, USA.

出版信息

J Grad Med Educ. 2025 Aug;17(4):511-514. doi: 10.4300/JGME-D-24-00791.1. Epub 2025 Aug 15.

Abstract

Narrative medicine (NM) is a discipline that equips clinicians with essential skills such as close reading, observation, and reflective practice, enabling them to listen more attentively and gain a deeper understanding of health care. Despite these advantages, many training programs lack skilled facilitators to implement NM locally. To address this gap, a hybrid virtual/in-person inter-residency NM curriculum was developed. This study aims to explore residents' perceptions of the NM curriculum and how they describe its influence on their personal or professional development. We conducted 2 focus group interviews of pediatrics residents who attended at least one NM workshop. The 50-minute workshops occurred monthly from July 2023 to July 2024 as part of the mandatory pediatrics residency conference curriculum, though attendance was secondary to clinical duties. Attendance included 10 to 15 residents and 1 to 2 fellow or faculty facilitators. Interviews were recorded, transcribed, and thematically analyzed. Through analysis of 2 focus groups comprising 13 total residents, we identified 3 themes: reconnecting with humanity through reflection, strengthening relationships with colleagues and patients, and appreciating institutional support for NM. Our study demonstrates that an inter-residency NM curriculum fostered a sense of community by enabling residents to reflect on their clinical practice and connect with colleagues within and beyond their respective campuses. Residents valued the opportunity to learn from peers and supervisors alike and appreciated program leadership's support of NM.

摘要

叙事医学(NM)是一门为临床医生提供诸如仔细阅读、观察和反思实践等基本技能的学科,使他们能够更专注地倾听并深入理解医疗保健。尽管有这些优势,但许多培训项目缺乏熟练的促进者在当地实施叙事医学。为了填补这一空白,开发了一种虚拟/面对面相结合的住院医师间叙事医学课程。本研究旨在探讨住院医师对叙事医学课程的看法,以及他们如何描述该课程对其个人或职业发展的影响。我们对参加了至少一次叙事医学研讨会的儿科住院医师进行了2次焦点小组访谈。作为儿科住院医师必修会议课程的一部分,从2023年7月到2024年7月,每月举办一次时长50分钟的研讨会,不过参加研讨会要以临床职责为次要考量。每次参加的人员包括10至15名住院医师以及1至2名同伴或教员促进者。访谈进行了录音、转录并进行了主题分析。通过对由13名住院医师组成的2个焦点小组的分析,我们确定了3个主题:通过反思重新与人性建立联系、加强与同事和患者的关系以及感激机构对叙事医学的支持。我们的研究表明,住院医师间叙事医学课程通过使住院医师反思其临床实践并与各自校区内外的同事建立联系,营造了一种社区感。住院医师重视向同行和上级学习的机会,并感激项目领导层对叙事医学的支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b283/12360235/b780dee48088/i1949-8357-17-4-511-absf1.jpg

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