中国医学伦理学2025，Vol.38Issue(6)：695-703,9.DOI:10.12026/j.issn.1001-8565.2025.06.03
住培医师叙事能力培养的实践方式及意义探究
Exploring the practical ways and significance of narrative ability training for resident physicians
摘要
Abstract
Objective:To evaluate the impact of narrative medicine education on the narrative ability of resident physicians undergoing standardized residency training,and to explore its application value in clinical practice.Methods:A total of 23 obstetricians and gynecologists who participated in residency training at the Fourth Hospital of Hebei Medical University from October 2021 to June 2024 were randomly selected to receive a 3-month residency training program integrated with narrative medicine education,including narrative theory learning,text reading,reflective writing,and scenario-based case analysis.A questionnaire survey was conducted to analyze the personal situation of resident physicians,their narrative ability before and after receiving narrative medicine education,and their satisfaction with teaching.Results:The results of the questionnaire survey showed that resident physicians who had received narrative medicine education scored higher on the narrative ability assessment scale than before training,including improved narrative abilities in the dimensions of life and health narrative awareness,professional narrative thinking,professional development narrative behavior,peer communication narrative behavior,and doctor-patient interaction narrative behavior(P<0.05).However,there were no statistically significant differences in the dimensions of life and health narrative behavior and family connection narrative behavior(P>0.05).Meanwhile,resident physicians'interest in active learning,clinical thinking ability,doctor-patient communication ability,and satisfaction with teaching methods have also been improved(P<0.05).Conclusion:Narrative medicine education can effectively enhance the narrative ability of resident physicians and make up for the current deficiencies in humanistic literacy and ethical education in current medical education.It is of great significance for improving doctor-patient relationships and the quality of medical services.Therefore,it is recommended to integrate narrative medicine education into the regular training curriculum for resident physicians.关键词
医学叙事能力/叙事医学教育/产科/住院医师规范化培训/医学人文Key words
medical narrative ability/narrative medicine education/obstetrics/standardized residency training/medical humanities引用本文复制引用
杜丽佳,郑芮,那佳,朱潇雄,杨志芬..住培医师叙事能力培养的实践方式及意义探究[J].中国医学伦理学,2025,38(6):695-703,9.基金项目
2024年河北医科大学2024年度研究生精品教材建设项目"产科情景模拟教学案例集"(YJPJC202403) （YJPJC202403）
2024年省级研究生示范课程"以叙事医学为纲的产科学示范课程"(KCJSX2024040) （KCJSX2024040）
2021年教育部首批新文科研究与改革实践项目"'5+3'医学人才培养模式下医学人文课程设置的序贯性研究"(2021070026) （2021070026）
