基于叙事医学的产科人文医学实践教学——以“温暖的医学”课程“生”主题实践为例  

Practical teaching of obstetric humanistic medicine based on narrative medicine:taking the“birth”theme practice of the“Warm Medicine”course as an example

作　　者：徐丁丁 冯媛 田利红 余佯洋 XU Dingding;FENG Yuan;TIAN Lihong;YU Yangyang(Medical Humanities Center,Medicine School,Shenzhen University,Shenzhen 518055,China;Department of Obstetrics and Gynecology,Shenzhen University General Hospital,Shenzhen 518071,China)

机构地区：[1]深圳大学医学部医学人文中心,广东深圳518055 [2]深圳大学总医院妇产科,广东深圳518071

出　　处：《中国医学伦理学》2024年第11期1302-1307,共6页Chinese Medical Ethics

基　　金：2023年广东省临床教学基地教学改革研究项目“基于叙事医学的两层进阶式医学人文实践教学模式探索与研究”;2023年广东省“新医科”教学改革项目“新医科医学人文实践教育体系与实践平台建构”;2023年深圳大学医学部教学改革研究重点项目-重点项目“新医科背景下基于叙事医学的两层进阶式医学人文实践教学模式探索与研究”(YXBJG202338)。

摘　　要：叙事医学强调叙事能力的养成,为促进临床学科教学、引导医学生向医生角色的转化提供了重要路径。“温暖的医学”课程基于叙事医学理论,课程设计了覆盖“生·老·病·死”全生命周期的两层进阶式实践教学体系,在实际医疗场景中锻炼医学生吸收、解释、回应患者故事和困境的能力。以“生”主题实践为例,呈现了该课程的具体实施和开展情况。“生”主题实践教学提升了学生对医学主旨的理解和生命本质的感悟,促进了医患关系主体间性的建立和医学生全人医学诊疗思维的形成。Narrative medicine emphasizes the cultivation of narrative ability,providing an important pathway to promote clinical discipline teaching and guide the transformation of medical students into the role of doctors.Based on the theory of narrative medicine,the Warm Medicine course is designed with a two-layer advanced practical teaching system covering the entire life cycle of“birth,aging,illness,and death”.It can train the ability of medical students to absorb,interpret,and respond to patients’stories and difficulties in actual medical scenarios.Taking the“birth”theme practice as an example,the paper presentes the specific implementation and development of the course.The practical teaching of the“birth”theme enhanced students’understanding of medical themes and their perception of the essence of life,as well as promoting the establishment of the subjectivity of doctor-patient relationships and the formation of medical students’holistic medical diagnosis and treatment thinking.

关 键 词：叙事医学 产科教学 临床教育 医学人文教育 

分 类 号：R-05[医药卫生]