医学学习者之间的耻辱:一个以不确定性为中心的概念
Paul K J Han1, Margrethe Schaufel2, Edvin Schei3
1Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, USA.
Patient education and counseling
|February 11, 2026
概括
医学教育的耻辱源于不确定性. 学习者将医疗不确定性转化为个人不确定性,导致自我怀疑. 干预措施应侧重于管理不确定性,以防止羞耻.
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 专业人员 福祉 健康
背景情况:
- 羞耻感是影响医学学习者和临床医生的普遍问题.
- 羞耻会对医疗教育和实践中的福祉产生负面影响.
- 羞耻与医疗不确定性之间的联系需要更深入的分析.
研究的目的:
- 在医疗环境中分析羞耻的性质和起源.
- 探索羞耻和医疗不确定性之间的复杂关系.
- 确定潜在的干预措施,以减轻医疗专业人员之间的羞耻感.
主要方法:
- 基于对羞耻和不确定性的洞察力进行理论分析.
- 检查将医学不确定性与耻辱联系起来的转变过程.
- 确定参与羞耻发展的关键心理机制.
主要成果:
- 羞耻源于将医疗不确定性个性化为自我价值的担忧.
- 学习者通过培养不充分的确定性来解决个人不确定性.
- 矛盾的是,医学上的不确定性既是耻辱的源头,也是耻辱的潜在解决方案.
结论:
- 羞耻的发展包括对不确定性的个性化及其破坏性的解决.
- 针对不确定性管理的干预措施可以预防或减少羞耻感.
- 医学培训应该明确地解决不确定性及其对学习者的影响.
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