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医学隐藏课程中的认知不和
Isaac K S Ng1,2, Kevin S H Teo2,3, Wilson G W Goh2,4
1Division of Rheumatology and Allergy, Department of Medicine, National University Hospital, Singapore.
Internal medicine journal
|December 5, 2025
概括
当他们的行为与他们的信仰相冲突时,医疗专业人员会经历认知失调,这是培训和实践中常见的问题. 这篇论文探讨了其原因,并提供了缓解策略.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 医疗保健道德 医疗保健道德
背景情况:
- 认知失调,来自相互矛盾的信念或行为的精神不适,在医学培训中很普遍.
- 医学中的"隐藏课程"往往呈现出与正式教义和个人价值观相矛盾的经验.
研究的目的:
- 确定认知失调在临床环境中表现的关键领域.
- 在个人和系统层面提出减轻认知失调的实际策略.
主要方法:
- 医疗培训和实践中生活经验的定性分析.
- 医学专业人员对认知失调的专家观点.
主要成果:
- 在临床环境中确定了引发认知失调的特定场景.
- 概述了个人应对机制和系统变化,以解决这个问题.
结论:
- 认知失调是现代医疗环境的一个重大挑战.
- 解决认知失调需要个人弹性战略和机构改革.
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