"模型已经很长一段时间是粉红色的. 在模拟中导航白度和真实性
David A Ansari1, Emily R Via2, Christine S Park1
1Department of Medical Education, University of Illinois College of Medicine, United States.
Social science & medicine (1982)
|December 25, 2024
概括
模拟培训可以无意中重现偏见,阻碍包容性医学教育的努力. 必须改善模拟中的病例设计和患者代表性,以促进所有学习者的归属性和团结.
科学领域:
- 医学教育 医学教育
- 模拟技术的模拟技术
- 卫生专业培训 卫生专业培训
背景情况:
- 模拟为健康专业的学习者提供了一个安全的空间来练习技能和发展专业沟通.
- 它为学习者提供了反思偏见和参与各种患者场景的机会.
- 然而,模拟内容的包容性和代表性需要审查.
研究的目的:
- 探索学习者,临床教育教师和模拟专业人员如何在模拟培训中感知和反思多样性和反种族主义.
- 了解参与者与模拟中的多样性和包容性有关的生活经验.
- 确定在模拟中加强反种族主义实践的挑战和机会.
主要方法:
- 有关面试和焦点小组讨论的定性研究.
- 参与者包括医学学生,模拟专业人员和临床教育教师 (n=47).
- 数据是在美国中西部的一个公立医学院收集的,分布在三个校区.
主要成果:
- 参与者承认模拟的价值,作为一种无判断的区域,用于技能发展和患者互动.
- 一个重要的发现是认识到模拟病例和标准化患者缺乏关于种族,语言,残疾,体型和年龄的包容性.
- 可见少数民族的学生报告说,与模拟患者有关的困难和感知偏见,影响了培训的感知现实性.
结论:
- 模拟虽然有益,但可以无意地延续临床实践中存在的偏见.
- 模拟内容和患者代表性的不充分包容性挑战了建立归属感的挑战.
- 模拟中的反种族主义实践必须涉及病例设计和患者描绘,以促进真正的包容性和团结.
相关概念视频
01:12Modeling and Similitude
245
Scaled modeling is a fundamental technique in engineering, enabling the study of large and complex systems by creating smaller, manageable replicas that recreate critical characteristics of the original. In hydrology and civil infrastructure, for example, scaled models of dams help analyze water flow, turbulence, and pressure. This method allows for accurate predictions of real-world behavior within a controlled environment, significantly reducing the cost and time involved in full-scale...
245
02:10Social Scripts
9.4K
People tend to know what behavior is expected of them in specific, familiar settings. A script is a person’s knowledge about the sequence of events expected in a specific setting (Schank & Abelson, 1977). Essentially, scripts are a particular kind of schema, one containing default values for the features within an event. In the restaurant example, the script's features include the props (e.g., tables, menu, food, and money), the roles to be played (e.g., customer and waiter),...
9.4K
02:57The Sense of Self: Reflected Self-Appraisal and Social Comparison
49.6K
According to Charles Cooley, we base our image on what we think other people see (Cooley 1902). We imagine how we must appear to others, then react to this speculation. We don certain clothes, prepare our hair in a particular manner, wear makeup, use cologne, and the like—all with the notion that our presentation of ourselves is going to affect how others perceive us. We expect a certain reaction, and, if lucky, we get the one we desire and feel good about it. But more than that, Cooley...
49.6K
03:00Self-Evaluation: Self-Enhancement and Self-Verification
5.2K
Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
5.2K
02:16Self-Schemas
31.0K
In general, a schema is a mental construct consisting of a cluster or collection of related concepts (Bartlett, 1932). There are many different types of schemata, and they all have one thing in common: schemata are a method of organizing information that allows the brain to work more efficiently. When a schema is activated, the brain makes immediate assumptions about the person or object being observed.
31.0K
00:57Deindividuation
26.2K
Deindividuation is a form of social influence on an individual’s behavior such that the individual engages in unusual or non-normal behavior while in a group setting. Why? Because in these group settings, the individual no longer sees themselves as an individual anymore, disinhibiting their behavior and personal restraint.
26.2K