纵向综合实习,同理心和以患者为中心:一项前性队列研究
Alastair Dodsworth1,2, Hugh Alberti2, David A Hirsh3,4
1Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne, UK.
Medical teacher
|December 9, 2024
概括
纵向综合实习 (LICs) 可能会防止医学学生的同情心和患者中心性的下降,这种下降在传统的区块轮换计划中观察到. 这项研究表明,LIC可以减轻临床培训期间的伦理侵蚀.
科学领域:
- 医学教育研究 医学教育研究
- 临床培训 临床培训
- 医疗保健道德 医疗保健道德
背景情况:
- 伦理侵蚀,以患者为中心和同情心的下降为特征,是医学学生在临床培训期间记录的担忧.
- 纵向综合实习 (LICs) 是一种替代的教育模式,可以抵消这种下降.
研究的目的:
- 评估LIC对医学学生患者中心性和同理心的影响.
- 为了比较LIC学生和传统的区块轮流安置之间的这些属性的变化.
- 在LIC计划的背景下,调查英国医学学生的伦理侵蚀.
主要方法:
- 一项涉及两个LIC群体 (LIC1,LIC2) 和一个比较区块旋转群体 (非LIC) 的比较研究.
- 在每个学年开始和结束时管理患者中心化和同情度量表.
- 从学生问卷中分析完整的病例数据.
主要成果:
- 非LIC学生的同理心在统计学上显著下降 (p<.001).
- 在两个LIC群体中,同理心水平保持稳定,没有显著下降.
- 患者为中心的趋势显示LIC学生的增加和非LIC学生的减少,尽管在统计学上并不显著.
结论:
- 这些发现支持这样一个假设:与区块轮流安置相比,LICs可以减少道德侵蚀.
- 有证据表明,在进行区块旋转培训的学生中,道德侵蚀发生.
- 这项研究提供了关于英国医学学生完成LIC的同理心和以患者为中心的新数据.
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