没有争议的归属:使用自决理论来重新定义医疗教育中的包容性
1Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Teaching and learning in medicine
|March 5, 2026
概括
全球多样性,公平性和包容性 (DEI) 改革面临政治化. 自决理论 (SDT) 提供了一个以关联为中心的框架,以促进医学教育中的归属,以道德支持学习者.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 社会科学 社会科学 社会科学
背景情况:
- 全球多样性,公平性和包容性 (DEI) 和正义,公平性,多样性,非殖民化,土著化和包容性 (JEDDII) 框架旨在加强医学教育中的归属性.
- 对DEI/JEDDII语言和治理的政治化带来了风险,包括对机构的审计,声誉损害和资金挑战.
研究的目的:
- 提出自决理论 (SDT) 作为一个以证据为基础的框架,以补充DEI/JEDDII倡议.
- 在医学教育中将包容性目标转化为可观察的实践和可衡量的学习体验.
- 培养亲属关系作为归属的基础,即使在有争议的言论中.
主要方法:
- 将归属的概念置于心理上对关联的需求中,正如自决理论 (SDT) 所定义的那样.
- 综合国际证据在教育环境中的相关性和归属性.
- 识别阻碍培养关联和归属的结构性障碍.
- 提出多层次策略 (政策,课程和床边) 以促进相关性.
主要成果:
- 自决理论 (SDT) 提供了一个以关联为中心的框架,即对真实的联系的普遍心理需求.
- 通过可观察的实践和可测量的学习体验来培养相关性,补充DEI/JEDDII的努力.
- 多层次战略可以解决结构性障碍,促进医学教育中的相关性.
结论:
- 将归属与普遍的心理需求 (相关性) 和可辩护的教育成果相结合,可以维持医学教育的进步.
- 这种方法以道德和持久的方式支持医学学习者,在DEI/JEDDII话语的复杂性中进行导航.
- 促进关联性提供了一个强有力的战略,以加强归属性和减轻与政治化DEI/JEDDII倡议相关的风险.
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