Grundstein-Amado R
Hebrew University, Hadassah Medical School, Jerusalem, Israel.
J Med Ethics. 1995 Jun;21(3):174-8. doi: 10.1136/jme.21.3.174.
This paper suggests that medical education should redirect resources to values education, specifically developing new strategies to improve the process of clarification of values. The author suggests using the values journal method which is based on a systematic record of students' personal value systems reflected in their stories and life experience; and on their responses to case presentation. Generating a personal values journal helps students define who they are, what their social and professional roles are, what their expectations are and where they are going. Keeping values journals promotes students' decision-making capacity, and equips them with the necessary skills to teach their future patients how to generate their own value systems. The development of a well defined values journal is a preparatory stage for active participation in clinical conferences or group discussion, and for effective communal dialogue among the group's members.
本文认为医学教育应将资源重新导向价值观教育,特别是制定新策略以改进价值观澄清过程。作者建议采用价值观日志法,该方法基于对学生个人价值体系的系统记录,这些价值体系体现在他们的故事和生活经历中,以及他们对病例展示的反应中。撰写个人价值观日志有助于学生明确自己是谁、社会和职业角色是什么、期望是什么以及前进方向。坚持写价值观日志可提升学生的决策能力,并使他们具备必要技能,以便教导未来的患者如何构建自己的价值体系。制定一份定义明确的价值观日志是积极参与临床会议或小组讨论以及在小组成员间进行有效集体对话的准备阶段。