叙事医学整合式CBL教学模式在肿瘤学专业型硕士研究生医学人文素养培养中的路径探索

    Exploration of the pathway for narrative medicine-integrated CBL teaching mode in cultivating medical humanistic literacy among oncology professional master′s degree students

    • 摘要:
      目的 探讨将叙事医学整合式CBL教学模式对肿瘤学专业型硕士研究生医学人文素养的提升效果。
      方法 选取2024年5—12月蚌埠医科大学第一附属医院肿瘤学科64名临床轮转专硕生作为研究对象,随机分为对照组和观察组,每组32名。对照组采用传统CBL教学模式,观察组则采用叙事医学整合式CBL教学模式,教学周期为8个月。采用人文关怀能力量表(CAI)、杰弗逊共情量表(JSE-HP)及SEGUE量表评估2组学生的人文关怀能力、共情能力及医患沟通能力。
      结果 人文关怀能力分析显示观察组专硕在认知、勇气和耐心三个维度及总分上均高于对照组(P < 0.05)。共情能力分析显示观察组在观点采择、怜悯关怀、换位思考及总分上均高于对照组(P < 0.05)。医患沟通能力上观察组得分高于对照组(P < 0.01)。观察组医患沟通能力良好率明显高于对照组(P < 0.01)。
      结论 叙事医学整合式CBL教学模式可有效提升肿瘤学专硕的医学人文素养,为医学教育改革提供实践依据。

       

      Abstract:
      Objective To explore the effect of narrative medicine-integrated CBL teaching mode on enhancing the medical humanistic literacy among oncology professional master′s degree students.
      Methods Sixty-four clinical rotating master′s degree students from the oncology department of The First Affiliated Hospital of Bengbu Medical University from May to December 2024 were selected as the research subjects, and randomly divided into a control group and an observation group, with 32 students in each group.The control group adopted the traditional CBL teaching mode, while the observation group adopted the narrative medicine-integrated CBL teaching mode, with a teaching period of 8 months.The care ability inventory (CAI), Jefferson scale of physician empathy (JSE-HP), and SEGUE scale were used to evaluate the humanistic care ability, empathy ability, and doctor-patient communication ability of students in the two groups.
      Results The analysis of humanistic care ability showed that the scores of three dimensions of cognition, courage, and patience, as well as the total score in the observation group were higher than those in the control group (P < 0.05).The analysis of empathy ability showed that the scores of viewpoint selection, compassion care, empathy, and total score in the observation group were higher than those in the control group (P < 0.05).The doctor-patient communication ability in the observation group was obviously higher than that in the control group (P < 0.01), and the good rate pf doctor-patient communication ability in the observation group was obviously higher than that in the control group (P < 0.01).
      Conclusions The narrative medicine-integrated CBL teaching mode can effectively enhance the medical humanistic literacy of oncology professional master′s degree students, which provides practical reference for medical education reform.

       

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