福利与能力相比? 揭穿医学教育中的错误二分法
Victor Do1,2, Melanie Lewis1,2, Henry Li1,2,3
1Faculty of Medicine and Dentistry Wellbeing Lab, University of Alberta, Edmonton, AB, Canada.
概括
医学学习者福祉计划增强,而不是阻碍,能力和患者安全. 优先考虑福祉对于培养熟练,有弹性和富有同情心的医生至关重要.
科学领域:
- 医学教育 医学教育
- 医生福祉 医生福祉
- 医疗保健专业发展
背景情况:
- 与普通人群相比,医学学习者表现出较低的幸福感.
- 医学学习者福祉已经获得了突出地位,推动了培训环境的改善.
- 关于福利倡议是否影响医疗能力发展存在争论.
研究的目的:
- 在医学教育中挑战健康和能力是相互排斥的概念.
- 认为医学的历史文化是"坚强"的,这就造成了福利和能力之间的错误二分法.
- 提出可行的战略,将健康融入医疗培训,以加强个人健康和专业发展.
主要方法:
- 文献综述和现有关于医学学习者福祉和能力的研究的综合.
- 分析影响医学培训环境的历史文化因素.
- 为支持学习者福祉和职业成长采取行动的步骤制定框架.
主要成果:
- 有证据表明,提高学习者福祉与提高能力和患者安全有积极的相关性.
- 医学中的传统"强硬"文化模糊了生产性压力和伤害之间的界限,创造了一个有害的隐藏课程.
- 福利举措,当适当整合时,不会损害,而是支持医疗能力的发展.
结论:
- 在医学培训中,幸福感与能力之间的冲突是错误的二分法.
- 支持学习者福祉对于培养医生能力,性和同情心至关重要.
- 需要在医学教育中进行文化转变,将福祉纳入系统和政策,并将其视为专业卓越的基础.
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