走向加拿大医学教育中的自主支持健康模式
1Department of Family Medicine, University of Calgary, Alberta, Canada.
Canadian medical education journal
|July 19, 2023
概括
医疗教育中的以个人为中心的健康干预措施在心理上是有害的和无效的. 转向系统级改进的范式转变是必要的,以解决学习者的困境,并提高所有利益相关者的福祉.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 医疗保健系统 医疗保健系统
背景情况:
- 学习者的痛苦是当代医疗培训中的一个重要问题.
- 当前的医疗机构经常实施以个人为中心的健康干预措施 (IFW),而不是解决系统性问题.
- 国际医学工作通常包括医疗学员的弹性,正念和倦怠预防培训.
研究的目的:
- 批评医疗教育中以个人为中心的健康干预措施 (IFW) 的有效性和适当性.
- 论证IFW在心理上是有害的,并不足以解决学习者的痛苦.
- 倡导医疗培训中对健康的方法发生根本性的变化.
主要方法:
- 以经验证据为基础的理论论证,并建立了心理学理论.
- 分析当前健康策略的局限性和负面影响.
- 基于自决理论的系统变革路线图的制定.
主要成果:
- 以个人为中心的健康干预措施 (IFWs) 被认为是不适当的,侮辱性的和对医学学习者心理有害的.
- 介绍并讨论了IFW固有的三个核心问题.
- 建议在医学教育健康的方法中进行显著的范式转变.
结论:
- 在医学上,IFW是对学习者痛苦的无效和有害的反应.
- 在医学教育中,需要一种系统的,而不是个人的健康方法.
- 实施基于自决理论的系统级改进可以为医学中的每个人创造一个可持续和有益的环境.
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