实施和评估一个试点叙事医学课程的内部医学住院医生实习生
Rebecca K Tsevat1,2,3, Peter Young1, Eunice Zhang1,4
1Department of Medicine, Division of General Internal Medicine and Health Services Research, University of California, Los Angeles David Geffen School of Medicine, Los Angeles, USA.
Cureus
|March 4, 2024
概括
一个单一的叙事医学研讨会提高了内科医生对关键技能的信心和兴趣. 这项试点计划证明了在提高患者护理和提供者福祉方面的可行性和价值.
科学领域:
- 医学教育 医学教育
- 叙事医学是一种叙事医学.
- 定性研究是指质量研究.
背景情况:
- 叙事医学增强了观察,反思和自我护理方面的医学培训.
- 有限的研究评估单个叙事医学会议使用前后测试设计.
- 这项研究试行了叙事医学课程在内科住院计划.
研究的目的:
- 实施和评估试点叙事医学课程的可行性和影响.
- 评估居民对叙事医学技能的兴趣和信心的变化.
- 探索居民对叙事医学对患者护理和提供者福祉的影响的信仰.
主要方法:
- 一个小时的阅读和写作研讨会在门诊学术半日期间进行.
- 研讨会前和后的回顾性调查评估了兴趣,信心和信仰.
- 描述性统计和威尔科克森签名等级测试分析了定量数据.
- 对开放式问题的定性分析探索了参与者的经验.
主要成果:
- 在218名居民中,有152人完成了会议后的调查 (69.7%的响应率).
- 在听患者故事,文学分析和反思性写作时,观察到信心和兴趣的显著增加.
- 居民一致认为,叙事医学可以改善患者护理,减少倦怠,加强同学关系.
- 质量反表明会议是有价值的,并增强了医疗实践.
结论:
- 一个简短的叙事医学课程是可行的和有价值的内部医学住院.
- 一个单一的会议促进了自我反思,观察技能和专业联系.
- 未来的研讨会应该根据培训水平和居住轨道量身定制.
- 需要进一步的研究来评估结果的长期持久性.
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