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培养儿科医生的勇气:医学教育中的勇敢空间的案例
Catherine D Shubkin1, Raymond Cattaneo2, Jamee Walters3
1Dartmouth Health Children's/Geisel School of Medicine, 1 Medical Center Dr., Lebanon, NH 03755.
Academic pediatrics
|February 25, 2026
概括
医学教育工作者可以使用"勇敢的空间"框架来导航具有挑战性的儿童健康主题. 这种方法培养学员的勇气和技能,以解决复杂的问题并减少健康差异.
科学领域:
- 医学教育 医学教育
- 儿童健康 儿童健康
- 健康的社会决定因素
背景情况:
- 越来越多的政治两极分化使得关于儿童健康问题的讨论变得更加复杂,例如医学教育中的反种族主义和性别肯定护理.
- 医学教育工作者面临着限制性立法与培训儿科医生为整体护理和健康公平的伦理义务之间的冲突.
- 传统的"安全空间"模式可能会限制关于权力,特权和结构不平等的关键对话,从而延续健康差异.
研究的目的:
- 在儿科医学教育中引入和倡导"勇敢的空间"框架.
- 让学员具备与儿童健康和社会不平等有关的困难对话的技能.
- 为未来的儿科医生做好准备,使他们能够有效地为边缘化儿童辩护.
主要方法:
- 调整了高等教育的"勇敢的空间"框架,用于儿科医学培训.
- 在学术上的框架建立在勇气,心理安全和谦卑的调查之上.
- 定义了六个支柱:脆弱性,视角,倾向于恐惧,批判性思维,检查意图和正念.
主要成果:
- "勇敢的空间"框架提供了一种结构化的方法来处理具有挑战性的话题.
- 这种方法鼓励道德上的不适作为职业成长的催化剂.
- 培训人员有能力应对复杂性,并培养勇敢的对话.
结论:
- "勇敢的空间"框架是儿科医学教育的一个可行的模式.
- 导航复杂性的培训为儿科医生准备解决健康差异.
- 这种方法支持所有儿童的倡导,特别是来自边缘化社区的儿童.
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