重构马斯洛以全面考虑所有学员的需求
Kara Alcegueire1, Rachel B Levine2, Arianne Teherani3
1Hospital Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Perspectives on medical education
|February 2, 2026
概括
医学教育往往忽视了边缘化的学员.
科学领域:
- 医学教育 医学教育
- 健康的社会决定因素
- 健康 公平 卫生 公平
背景情况:
- 医疗培训系统存在系统性障碍和结构性不平等,不成比例地影响来自历史边缘化群体的学员.
- 这些不平等导致未满足的需求,影响学员的福祉,学业成果和教育经验.
- 一个普遍的"缺陷话语"掩盖了结构性障碍的作用,错误地将挑战归因于与生俱来的学员缺陷.
研究的目的:
- 引入一个新的框架,解决历史上被边缘化群体的医疗学员未得到满足的需求.
- 将重点从个人缺陷转移到医学教育中的系统障碍.
- 为所有医疗学员提供一个更公平,更有支持的学习环境.
主要方法:
- 开发一个新的框架,从马斯洛的"需求层次结构"理论中改编.
- 该框架是为实习生和教育工作者实际应用而设计的.
- 它旨在促进对学员需求的反思,并识别系统性不平等.
主要成果:
- 拟议的框架提供了一个结构化的方法来识别和解决医疗学员的各种需求.
- 它使学员能够自我评估他们的需求,教育工作者能够更好地理解生活经验.
- 该框架可以阐明群体特定的不平等现象,为有针对性的支持策略提供信息.
结论:
- 基于马斯洛理论的基于需求的框架对于支持来自边缘化背景的医疗学员至关重要.
- 这种方法可以减轻结构不平等的影响,促进学员勃发展.
- 实施这一框架可以带来更公平的医学教育计划,并改善所有学员的成绩.
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