在快速变化的时代,重新定义医学的专业性:修改后的德尔菲研究
Amy M Sullivan1, Ling Hsiao2, Richard M Schwartzstein1
1Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States.
Frontiers in medicine
|February 5, 2026
概括
这项研究为医疗专业主义建立了一个基于共识的框架,为教育工作者和学习者定义了24个基本元素. 该框架强调以患者为中心的护理和道德实践,适应不断变化的医学教育标准.
科学领域:
- 医学教育 医学教育
- 专业精神 研究 研究 专业精神
背景情况:
- 定义医疗专业主义缺乏共识,受到社会和实践转变的影响.
- 随着学员前景的不断变化,医疗专业的框架需要更新.
研究的目的:
- 建立一个现代的,基于共识的医疗专业主义框架.
- 为医学教育工作者和学习者提供有关专业标准的指导.
主要方法:
- 修改后的Delphi方法涉及39名医学教育专家.
- 三个调查轮和一个面对面的会议来评价51个基于行为的项目.
- 共识定义为在四个领域的"基本"项目上达成70%的共识.
主要成果:
- 在医疗专业的24个"基本"要素上达成共识.
- 关键要素包括以患者为中心的护理,道德实践,公平的护理,沟通和文化谦卑.
- 关于自我牺牲,服装和社会正义的项目没有达成共识,这表明存在不断变化的担忧.
结论:
- 新的框架反映了当代对医疗专业性的看法.
- 提供适应性指导,用于教学,反思和评估在不同的教育环境.
- 强调对话和情境意识评估在培养专业精神方面的重要性.
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