"即使它不是关于我们,它也会伤害. 在日本的医学教育中重新构建微型攻击:定性研究
Junki Mizumoto1,2, Hirohisa Fujikawa3
1Department of Family Practice, Ehime Seikyo Hospital, Matsuyama, Japan.
Medical teacher
|September 16, 2025
概括
日本的医学学生经历了与患者边缘化和等级结构相关的微型攻击. 解决这些问题需要系统性变革,而不仅仅是个别干预,以促进医学教育的公平.
科学领域:
- 医学教育 医学教育
- 社会文化研究 社会文化研究
- 医疗保健专业 股权 股权
背景情况:
- 微型攻击在全球医学教育中普遍存在.
- 之前的研究主要集中在西方背景.
- 了解日本的微型侵略需要检查社会文化结构.
研究的目的:
- 为了探索日本医学学生与微型攻击的经验.
- 在日本的社会文化框架内将这些经验置于背景中.
- 确定日本医疗环境中微型攻击的主题和因素.
主要方法:
- 通过日本医学学生协会 (Igakuren) 招聘.
- 与现任执行委员会成员和最近的毕业生进行了深入的在线采访.
- 对定性数据进行主题分析.
主要成果:
- 21名参与者在临床培训期间报告了各种微型攻击.
- 第四个元素"话题"被添加到微型攻击三角形中.
- 关键主题包括关于边缘化的患者的微型攻击,学生层次/非人化以及管理微型攻击.
结论:
- 日本的微型侵略源于结构上的不平等和等级制度,包括性别偏见.
- 解决方案包括赋予学生权力,培训教师和改革层次规范.
- 这项研究提供了一个文化特定的视角,以推动全球讨论健康职业教育中的公平.
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