参加者観察による反省的な実践の促進:日本におけるコミュニティベースの臨床研修における医学生の学習
Minako Kamimoto1, Daisuke Son2, Kazuoki Inoue3
1Tottori Medical Career Support Center, Tottori University Hospital, Yonago 683-8504, Japan.
Yonago acta medica
|February 19, 2026
まとめ
医学部生は,コミュニティの環境における民族学的参加者の観察を通じて,批判的思考と積極的な質問を強化しました. このアプローチは,臨床実務の違いについての反省を促進し,臨床前教育を改善しました.
科学分野:
- 医療教育 医療教育について
- 医学人類学 医学人類学
- 定性研究とは,定性的な研究です.
背景:
- 2011年以来,トトトリ大学のコミュニティベースの医療訓練を行っています.
- 従来の訓練では,批判的反省と積極的な質問が欠けていました.
- 2018年に参加者観察のための民族学的方法の導入.
研究 の 目的:
- 医学部の学生の学習に対する民族学的方法の影響を評価する.
- コミュニティベースのトレーニングにおいて,批判的思考と積極的な問い合わせを育成する.
- 臨床実務の違いに関する学生の反省を探求する.
主な方法:
- 107人の4年生医学生の電子ポートフォリオ (ePF) の質的記述的研究.
- KH Coderソフトウェアを使用した2019 ePFエントリのテキストデータの分析.
- 同出現ネットワーク図とテキスト解析によるテーマカテゴリ抽出.
主要な成果:
- "観察"",考える"",学ぶ"",感じること"といった用語が頻繁に使用される.
- 'question' と 'have', 'university' と 'community', 'study' と 'knowledge' の間で強い関連性が見られた.
- 学生は,積極的な観察と批判的な質問に焦点を当てたアクションプランを開発しました.
結論:
- 参加者の観察は,コミュニティと大学の臨床環境の違いを強調しました.
- この方法は,批判的思考と多様な視点を促進しました.
- 人類学的な方法は,臨床前医学教育に価値があります.
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