叙事医学融入全科医学教育初探  

Preliminary Exploration of Integrating Narrative Medicine into General Practice Education

作　　者：杨禹娟[1,4] 姚筱 白净[1] 邢坤[1] 徐博[3] 田涛[5] YANG Yujuan;YAO Xiao;BAI Jing;XING Kun;XU Bo;TIAN Tao(The Third Department of Cardiovascular Diseases of Geriatric Hospital,Shaanxi Provincial People's Hospital,Xi'an 710068,China;Department of Medical Service,Shaanxi Provincial People's Hospital,Xi'an 710068,China;Department of General Practice,Shaanxi Provincial People's Hospital,Xi'an 710068,China;Department of Cardiovascular Diseases,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;Department of Medical Oncology,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]陕西省人民医院老年病院心内三科,陕西西安710068 [2]陕西省人民医院医务处,陕西西安710068 [3]陕西省人民医院全科医学科,陕西西安710068 [4]西安交通大学第一附属医院心内科,陕西西安710061 [5]西安交通大学第一附属医院肿瘤内科,陕西西安710061

出　　处：《中国医学伦理学》2023年第11期1216-1219,共4页Chinese Medical Ethics

基　　金：陕西省人民医院科技人才支持计划项目“MiRNA-33/SIRT6在肥胖性高血压发生发展中的作用研究”(2021Y-28);陕西省分子心脏病学重点实验室开放课题“成纤维细胞生长因子21与肥胖性高血压的关系及其机制研究”(KLMC-2018-04)。

摘　　要：在健康中国背景下,加强全科医学生人文素养教育体现了时代的诉求,推动了医学模式的转变,在实践层面对于消除全科医生的职业倦怠,有着重要的现实意义。将叙事医学融入全科医学生教育,有利于落实全科医学以患者为中心的理念,有利于开展连续化、系统化的医疗服务,有利于进一步提高全科医生的人文素养。基于此,提出了叙事医学融入全科医学生教育的相关路径:转变教育理念,整合教育资源;大胆进行课程改革,创新教育手段;充分利用平行病历和反思性写作两大手段;培养终身学习的习惯。In the context of a healthy China,strengthening humanistic literacy education for general medical students reflects the demands of the times,promotes the transformation of medical models,and has important practical significance in reducing the work burnout of general practitioners in practice.Integrating narrative medicine into general practice student education is conducive to implement the patient-centered concept of general practice,provide continuous and systematic medical services,and further improve the humanistic literacy of general practitioners.Based on these,this paper proposed the relevant paths of integrating narrative medicine into student education in general medicine,including changing educational concepts and integrating educational resources,boldly carrying out curriculum reforms and innovating educational methods,fully utilizing parallel medical records and reflective writing,as well as cultivating the habit of lifelong learning.

关 键 词：叙事医学 全科医学 伦理教育 医学人文 

分 类 号：R197.32[医药卫生—卫生事业管理]