我们的房子不会自行重建:和平,爱和希望作为工具来改变研究生医学教育
概括
研究生医学教育 (GME) 需要改革,以解决边缘化学员所面临的伤害. 重建GME需要培养心理安全,身份安全和所有正在培训的医生的归属感.
科学领域:
- 医学教育 医学教育
- 社会科学 社会科学 社会科学
- 健康 公平 卫生 公平
背景情况:
- 研究生医学教育 (GME) 是医生培训的最后阶段.
- 实习生,特别是来自边缘化背景的实习生,在GME中经历了复杂的挑战和基于身份的伤害.
- 目前的GME环境被描述为处于破旧状态,影响了卫生专业人员的学习和工作条件.
研究的目的:
- 通过批判性和解放性理论,探索GME中占主导地位的权力动态.
- 在GME中识别和分类基于身份的伤害,如沉默,痛苦和绝望.
- 倡导基于解放性设计原则的GME转型方法.
主要方法:
- 应用关键和解放理论来分析GME的权力结构.
- 使用"我们的房子"的隐喻来表示GME环境的概念框架.
- 在人类价值观 (和平,爱,希望) 和教育原则 (心理安全,身份安全,归属) 之间进行平行.
主要成果:
- 在GME中,基于身份的伤害表现为边缘化的学员的沉默,痛苦和绝望.
- 现有的GME结构使权力不平衡持续存在,并对学员产生负面影响.
- 解放性设计原则为转变GME提供了一个框架.
结论:
- 转变GME需要从根本上转向"新的房子规则",促进包容性.
- 促进心理安全,身份安全和归属是重建GME的关键.
- 为所有个人创造空间参与重建GME对于一个更公平的未来至关重要.
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