城市社区诊断计划的项目评估,结合现场工作,采用现实主义的方法
Junji Haruta1, Takayuki Ando2, Hirohisa Fujikawa2,3
1Medical Education Center and Center for General Medicine Education, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. junharujp@keio.jp.
BMC medical education
|November 22, 2025
概括
医学学生通过实地考察改善了社区健康的理解. 这项计划增强了他们解决城市环境中健康社会决定因素的能力.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 健康的社会决定因素 (SDOH) 对医学教育至关重要,特别是在城市环境中.
- 有效的医疗培训需要将理论知识与社区环境中的实际应用相结合.
- 了解社区健康问题需要了解各种社会背景.
研究的目的:
- 为医学学生评估一个基于实地工作的社区诊断计划.
- 评估该计划在确定社区健康问题的有效性.
- 确定该计划如何帮助学生将理论框架整合到实际学习中.
主要方法:
- 在东京的X医学院 (2022-2023) 进行为期两周的通用医学实习计划.
- 包括对生态系统理论和现象减少,城市现场工作,演示和反的指导.
- 评估采用了现实主义的方法 (上下文-机制-结果框架),对学生报告,文章和成绩单进行了定性分析.
主要成果:
- 学生们表现出更好的观测,分析和解释城市社区动态.
- 现场工作和反促进了双循环学习,重新评估假设和改进观点.
- 学生们发展了对SDOH的整体理解,批判性地检查了偏见,并提出了社区干预措施.
结论:
- 现场工作与反思性学习和理论相结合,促进了变革性的医学教育.
- 基于社区的计划对于准备医生解决健康差异和SDOH至关重要.
- 该研究强调了对教育干预措施的现实评估的有效性.
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