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在医学院学习语言,解读/学习同理心.
Seth M Holmes1,2,3
1University of California, Berkeley, 50 University Hall, MC 7360, Berkeley, CA, 94720, USA. sethmholmes@berkeley.edu.
Culture, medicine and psychiatry
|September 19, 2023
概括
医学院的培训可以减少同情心和患者团结. 在早期培训中学习医疗语言和表演同情心可能会增加医生和患者的分离,并阻碍健康公平的努力.
科学领域:
- 医学教育 医学教育
- 医学社会学 医学社会学
- 语言学的语言学.
背景情况:
- 医学院的课程可能会无意中侵蚀学生的同情心.
- 早期的培训,包括白袍仪式,塑造了职业身份.
- 医生与病人关系的发展受到教育过程的影响.
研究的目的:
- 检查医学学生的同理心和团结是如何潜在地减少.
- 分析语言社会化在医学培训中的作用.
- 探索早期医学教育对医生与病人分离和健康公平的影响.
主要方法:
- 使用个人医疗培训现场笔记和录音的民族学研究.
- 观察员参与和采访医学生多年.
- 通过语言社会化框架进行分析.
主要成果:
- 学习医疗实践的语言 (口头,文字,身体) 有助于医生与患者的分离.
- 医学学生发展出一种表现式的同理心,这可能会限制临床护理.
- 这种表现性同理心阻碍了团结在实现健康公平方面的潜力.
结论:
- 医学教育,特别是在临床前几年,需要重新评估,以保持同情心.
- 医学中的语言社会化可能会对医生与患者的关系产生意想不到的负面影响.
- 解决这些问题对于促进健康公平和改善患者护理至关重要.
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