在医学教育中实现精确健康
Thomas Thesen1,2, Wesley J Marrero3, Abigail J Konopasky1
1Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.
Medical teacher
|May 29, 2024
概括
一个新的精确福利框架根据心理健康和繁荣确定了三个不同的医学学生群体. 这种方法支持个性化干预,以促进学员的福祉.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 精准医学是一门精准的医学.
背景情况:
- 对医疗学员福利的通用解决方案忽视了个体差异.
- 精准医学提供了使用环境,遗传和生活方式因素的量身定制干预措施.
- 支持积极的福祉,而不仅仅是临床疾病,对于医疗学员来说至关重要.
研究的目的:
- 为医学教育引入一种新的精确健康框架.
- 将心理健康和积极心理学措施整合到数据驱动模型中.
- 将医学学生分为不同的幸福现象型.
主要方法:
- 应用无监督机器学习对3632名美国医学学生的心理健康数据.
- 根据抑郁,焦虑和繁荣的指标对学生进行集群.
- 确定了三个不同的幸福现象型:"健康的繁荣者"",过得很好"和"有风险".
主要成果:
- 49%的学生是"健康的繁荣者" (高繁荣,没有/低痛苦).
- 36%的人"过得很好" (轻微的痛苦,减少了繁荣).
- 15%的人"处于危险状态" (高度痛苦,丧,增加自杀倾向).
结论:
- 很大一部分医学学生经历了健康和心理健康挑战的减少.
- 精确的福利框架为学生心理健康提供了一个整体的,个性化的模型.
- 这一框架使个性化干预和评估其有效性的学生集群分层成为可能.
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