一个居民叙事医学课程,以促进专业身份发展:以叙事学习理论为基础的基于故事的会议
Michelle Silver1, Farah Hussain2
1Instructor of Medicine, Department of Medicine, Harvard Medical School and Beth Israel Deaconess Medical Center.
MedEdPORTAL : the journal of teaching and learning resources
|October 23, 2024
概括
叙事医学 (NM) 会议改善了居民的健康,工作满意度和患者护理. 这些以人文为基础的干预措施促进了医生身份发展和社会联系,这对于打击倦怠至关重要.
科学领域:
- 医学教育 医学教育
- 医生福利 医生福利
- 叙事医学是一种叙事医学.
背景情况:
- 共感和社会联系对于医生身份至关重要,但受到燃烧的威胁.
- 基于人文学的干预措施,如叙事医学 (NM),正在获得医学教育的引力.
- 目前的NM举措往往缺乏对研究生医学学习者的关注,并表现出不一致的理论基础.
研究的目的:
- 开发和评估叙事医学 (NM) 会议的内部医学-初级保健居民.
- 促进健康的医生身份发展,增强反思,促进社会联系.
- 为了解决研究生医学学习者在NM干预中的代表性不足.
主要方法:
- 90分钟的NM课程被整合到两个学术中心的PGY 1-3居民的课程中.
- 会议利用了叙事来源 (故事,诗歌,艺术),个人反思和小组讨论诸如倦怠和具有挑战性的患者遭遇等主题.
- 匿名的会议后调查评估了参与者的满意度,态度和感知技能发展.
主要成果:
- 在2021年至2023年期间进行了15次会议,50名居民参加了会议.
- 获得了高响应率 (88%),超过95%的参与者报告了高的整体印象和个人价值.
- 会议获得了高的享受评分,并在对健康,工作价值观,社会联系和患者护理的影响方面显示了4/5以上的平均得分.
结论:
- 叙事医学课程显示了改善居民健康,工作满意度和患者护理的潜力.
- 这些干预措施促进友,帮助处理情绪,有助于医生健康的身份形成.
- 开发的NM材料为支持研究生医学学习者提供了一个有希望的方法.
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