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人体大体解剖学:培养学生尊重和同情心的关键时期。

Human gross anatomy: a crucial time to encourage respect and compassion in students.

作者信息

Weeks S E, Harris E E, Kinzey W G

机构信息

Sophie B. Davis School of Biomedical Education Physician Assistant Program, Harlem Hospital, City University of New York.

出版信息

Clin Anat. 1995;8(1):69-79. doi: 10.1002/ca.980080113.

Abstract

We suggest four ways in which human gross anatomy instructors can reinforce respect and compassion in students. First, encourage respectful language in the laboratory. The term "donor" should be used instead of "cadaver" or "corpse" in referring to the donated body because this promotes appreciation for the students' first "patient." Second, provide the students with the actual name, age, history, and likely cause of death of the donor so that they more fully appreciate the donor as having once been a living human being. Third, prompt students to explore feelings and discuss topics stimulated by the intense experience of human dissection. Suggested topics include the students' feelings about dissecting a human being, the difficulty in deciding to donate one's body, the central importance of anatomy to a medical practitioner's role, and the historical development of the study of anatomy. Fourth, hold a memorial ceremony, in which both students and faculty participate, as a positive closure to an emotionally and intellectually intense course. Additionally, a ceremony reinforces salutary values in students, enhances social bonding among students, and encourages their appreciation of various cultural and religious beliefs. These methods introduce a new dimension of experience for anatomy students. We have developed these methods in response to what we view as a negative trend in the medical profession in which health care becomes technical and patients become objects. It is our role as faculty to reinforce respectful and compassionate attitudes in medical students from the very beginning.

摘要

我们提出了四种方法,人体大体解剖学教师可以借此强化学生的尊重和同情心。首先,在实验室鼓励使用尊重性的语言。在提及捐赠的遗体时,应使用“捐赠者”一词,而不是“尸体”或“死尸”,因为这能促进学生对他们的第一位“患者”心怀感激。其次,向学生提供捐赠者的真实姓名、年龄、病史以及可能的死因,以便他们更充分地认识到捐赠者曾是一个活生生的人。第三,促使学生探索感受,并讨论由人体解剖的强烈体验引发的话题。建议的话题包括学生对解剖人体的感受、决定捐赠遗体的困难、解剖学对医生角色的核心重要性以及解剖学研究的历史历史发展。第四,举行一个师生都参与的纪念仪式,作为一门情感和智力强度大的课程的积极收尾。此外,仪式强化学生有益的价值观,增强学生之间的社会联系,并鼓励他们对各种文化和宗教信仰心怀感激。这些方法为解剖学学生引入了新的体验维度。我们开发这些方法是为了应对我们所认为的医学行业中的一种负面趋势,即医疗保健变得技术化,而患者变成了物体。作为教师,我们的职责是从一开始就在医学生中强化尊重和同情的态度。

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