患者,同行和个人身份:一项纵向定性研究,探索艺术和人文学科在实习培训中的变革潜力
概括
在研究生医学教育 (GME) 中的艺术与人文 (AHs) 帮助内部医学实习生恢复自我意识,建立社区,并表现出同情心. 这些纵向课程的好处是促进医生的个人和专业发展.
科学领域:
- 医学教育 医学教育
- 研究生医学教育 (GME)
- 医学中的艺术与人文学科 (AHs)
背景情况:
- 医学教育越来越多地使用艺术与人文 (AHs) 来提高医生的能力和专业性.
- 现有的医疗教育中AHs的框架主要基于本科研究.
- 在研究生医学教育中AHs的潜在影响仍然未被充分探索.
研究的目的:
- 探索一个纵向课程的潜力,包括内科医生实习生的AH.
- 评估AH指导对整个实习年个人和专业发展的影响.
主要方法:
- 一项纵向定性研究,涉及从2021年9月到2022年6月的14名内科实习生.
- 通过纵向音频日记 (LAD) 和半结构面试收集数据.
- 主题分析确定了影响的关键领域:恢复自我意识,建立社区,以及表现出同情心.
主要成果:
- 实习生认为AHs的抽象好处,如自我恢复,社区建设和同情心,比具体的更有价值.
- 对AHs的欣赏是一致的,感知到的实际实用性在年中下降,随后恢复承认其价值.
- 随着时间的推移,AH干预的纵向效应在持续的主题中很明显.
结论:
- 艺术和人文学科的教学始终被GME实习生所重视,不管他们之前的经验如何.
- 在GME的AH可以帮助实习生恢复自我意识,建立社区,并增强同情心,扩展现有的概念模型.
- 未来的课程应该利用AHs来培养有意义的联系,最大限度地发挥他们对GME学习者的潜力.
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