当患者不在以患者为中心的沟通培训时:对医学学生如何学习与患者互动的演讲分析
Anne Marie Rieffestahl1, Anne Mette Morcke2, Hanne O Mogensen3
1Section of General Practice and The Research Unit for General Practice, Department of Public Health, Faculty of Health and Medical Science, University of Copenhagen, Copenhagen, Denmark.
由于课程不一致,医学教育在以患者为中心的沟通方面扎. 调查结果显示,专注于生物医学专业知识而不是患者参与,阻碍了真正以患者为中心的培训.
科学领域:
- 医学教育 医学教育
- 沟通研究 沟通研究
- 卫生社会学 卫生社会学
背景情况:
- 以患者为中心的沟通是本科医学教育中长期存在的理想.
- 医学学生在采取以患者为中心的方法时经常遇到挑战.
- 正式课程意图与实际的学习环境之间存在潜在的不一致.
研究的目的:
- 探索医学课程如何与以患者为中心的医学的目标保持一致.
- 调查导致本科医学教育不一致的动态.
- 分析课程和沟通课程中以患者为中心的能力的翻译.
主要方法:
- 使用结构化沟通课程作为教育背景的定性方法.
- 使用文本代理概念分析课程和课程文档.
- 来自沟通课程的观察结果的诱导性主题分析.
主要成果:
- 课程内容和结构主要强调生物医学学科和知识.
- 医学学生被社会化为专家角色,患者被定位为被动信息接收者.
- 以患者为中心的沟通被运用到可测量的技能中,促进单向沟通.
结论:
- 研究的医学课程为以患者为中心的医学提供了有限的空间,即使是在沟通培训中.
- 宏观层面的文件塑造了微观层面的学习,导致了患者与学生接触的不和.
- 迈向以患者为中心的沟通培训的进展面临挑战,但研究结果为改善课程提供了起点.
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