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Whither (Whether) Medical Humanities? The Future of Humanities and Arts in Medical Education 医学人文何去何从?医学教育中人文艺术的未来
Pub Date : 2012-01-01 DOI: 10.21977/D98111796
J. Shapiro
This special issue of Journal for Learning through the Arts focuses on the uses of literature and arts in medical education. The introductory article addresses current debate in the field of medical humanities (MH), namely the existential question of what is the purpose of integrating humanities/arts in medical education; and then examines how the submissions included in the issue illuminate this conversation. Specifically, I frame the discussion as critiques of models of acquiescence in medical education contrasted with calls for medical educators employing the humanities to adopt models of resistance. After deconstructing some of the arguments against models of acquiescence, and examining both examples of resistance and acquiescence included in this issue, I conclude that the dichotomy, while in some ways providing valuable insight into the various ways humanities and arts can be understood within a medical context and the various uses to which they can be put in medical education, nevertheless does not do justice to the complexity of actual medical humanities teaching experience.
这期《通过艺术学习》杂志的特刊着重于文学和艺术在医学教育中的应用。导论文章论述了目前医学人文领域的争论,即在医学教育中整合人文/艺术的目的是什么;然后研究本期中包含的意见书如何阐明这一对话。具体来说,我将讨论作为对医学教育中默认模式的批评,与呼吁医学教育者利用人文学科采用抵抗模式形成对比。在解构了一些反对默许模式的论点,并研究了本问题中包含的抵制和默许的例子之后,我得出结论,二分法虽然在某些方面提供了有价值的见解,可以在医学背景下理解人文和艺术的各种方式,以及它们可以在医学教育中的各种用途,然而,并没有公正地对待实际医学人文教学经验的复杂性。
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引用次数: 19
The Value of Story in Medicine and Medical Education: A Chance to Reflect. 故事在医学和医学教育中的价值:一个反思的机会。
Pub Date : 2012-01-01 DOI: 10.21977/D9812648
Linda E. Clarke, J. D. D. Jong
While JJ was a medical student, the authors worked on a two-part study of the stories of “good death” as they were told by palliative care patients, caregivers, physicians and nurses. In this personal reflection, de Jong (JJ), now a family practitioner and Clarke (LC), an artist and educator in medicine and health care, consider the value of such “story work” in the development of key skills for a physician. While this is the experience of two individuals, the conclusions have relevance for those engaging in story work within the context of medicine, medical education and the health care community.
当JJ还是一名医学生时,作者进行了一项分两部分的研究,研究了姑息治疗患者、护理人员、医生和护士讲述的“善终”故事。德容(JJ)现在是一名家庭医生,克拉克(LC)是一名医学和卫生保健领域的艺术家和教育家,在这篇个人反思中,他们认为这种“故事工作”在培养医生关键技能方面的价值。虽然这是两个人的经历,但结论对那些在医学、医学教育和卫生保健社区背景下从事故事工作的人具有相关性。
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引用次数: 2
The Shortcomings of Medical Education Highlighted through Film. 通过电影凸显医学教育的不足。
Pub Date : 2012-01-01 DOI: 10.21977/D9812647
P. Mahajan
The aims of this report are to highlight the shortcomings in medical education. To use a student made short film as an example of how issues that cause medical student distress can be displayed. To show that the process of film-making is a useful tool in reflection. To display that film is an effective device in raising awareness.
这份报告的目的是强调医学教育中的缺点。以学生制作的短片为例,说明如何显示引起医学生困扰的问题。展示电影制作过程是一种有用的反思工具。放映那部影片是提高意识的有效手段。
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引用次数: 3
Teaching Humanities in Medicine: The University of Massachusetts Family Medicine Residency Program Experience 医学人文教学:马萨诸塞大学家庭医学住院医师项目经验
Pub Date : 2012-01-01 DOI: 10.21977/D9812657
H. Silk, S. Shields
Humanities in medicine (HIM) is an important aspect of medical education intended to help preserve humanism and a focus on patients. At the University of Massachusetts Family Medicine Residency Program, we have been expanding our HIM curriculum for our residents including orientation, home visit reflective writing, didactics and a department-wide narrative writing list serve. In this article we describe the program and our early assessment of the curriculum.
医学人文学科(HIM)是医学教育的一个重要方面,旨在帮助维护人文主义和对患者的关注。在马萨诸塞大学家庭医学住院医师项目中,我们一直在为住院医师扩展我们的HIM课程,包括入学指导、家访、反思性写作、教学和全系范围的叙事写作清单服务。在这篇文章中,我们描述了这个项目和我们对课程的早期评估。
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引用次数: 2
Exploring Professionalism in Undergraduate Medical and Dental Education through Forum Theatre. 通过论坛剧场探索医学和牙科本科教育的专业性。
Pub Date : 2012-01-01 DOI: 10.21977/D9812660
P. Brett-MacLean, V. Yiu, Ameer Farooq
Author(s): Brett-MacLean, Pamela; Yiu, Verna; Farooq, Ameer | Abstract: Forum Theatre (FT) was created by Brazilian theatre director Augusto Boal (1985) as an approach for promoting dialogue between the audience and those performing on stage for his “Theater for the Oppressed.” FT offers an accessible, interactive approach to exploring challenging topics and situations. In FT, a short scene is performed. It is then replayed again and again with audience members invited to intervene and offer different options for addressing various aspects of the problematic situation. Originally directed to helping people address and transform oppressive conditions that characterized their lives, FT has evolved and found expression in many different communities and contexts, including health professional education. Inspired by David Diamond’s (2008) “Theatre for Living” model (which approaches living communities as a complex, living entities), we introduced FT in the “Introduction to Medicine a Dentistry” (DMED 511) course offered as part of the Undergraduate Medical Education program in the Faculty of Medicine a Dentistry (FoMD). In this article, we describe how we have successfully engaged first year medical and dental students in discussion and critical reflection of professionalism issues relevant to their experiences of small group learning using FT.
作者:布雷特-麦克莱恩,帕梅拉;姚,弗娜;摘要:论坛剧场(Forum Theatre, FT)是巴西戏剧导演奥古斯托·波尔(Augusto Boal, 1985)为其“为被压迫者而设的剧场”创造的一种促进观众与舞台表演者之间对话的方式。英国《金融时报》为探索具有挑战性的话题和情况提供了一种方便、互动的方式。在FT中,表演了一个简短的场景。然后一遍又一遍地重播,邀请观众进行干预,并为解决问题情况的各个方面提供不同的选择。《金融时报》最初旨在帮助人们解决和改变他们生活中的压迫状况,后来在许多不同的社区和环境中得到了发展和表达,包括卫生专业教育。受David Diamond(2008)的“生活剧场”模型(将生活社区视为复杂的、有生命的实体)的启发,我们在“牙科医学导论”(DMED 511)课程中引入了FT,该课程是牙科医学学院(FoMD)本科医学教育计划的一部分。在这篇文章中,我们描述了我们如何成功地让一年级医学和牙科学生讨论和批判性地反思与他们使用FT进行小组学习的经验相关的专业问题。
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引用次数: 32
Art of Analysis: A cooperative program between a museum and medicine 分析艺术:博物馆和医学的合作项目
Pub Date : 2012-01-01 DOI: 10.21977/D9812655
A. Jacques, R. Trinkley, Linda Stone, Richard Tang, William A Hudson, S. Khandelwal
Art of Analysis (AoA) is a cooperative effort of the Ohio State University College of Medicine (OSUCOM) and Columbus Museum of Art (CMA) aimed at medical students who are participating in learning communities, groups formed in pre-clinical medical student education to emotionally support and encourage students through the arduous process of medical training, to develop critical thinking skills; engender empathy; increase tolerance for ambiguity; build team problem solving abilities; and consider multiple perspectives through the observation of artwork. While several medical education institutions in the past have described similar programs, AoA uses a unique critical thinking strategy called “ODIP” (Observe, Describe, Interpret, Prove). Group participants include medical students, the learning community faculty (faculty members from OSUCOM) and CMA educators who facilitate and direct the AoA program. The groups set expectations before the program, emphasizing the goals and objectives of the program. Students then use the ODIP strategy to interpret one work of art as a group before they individually venture into the galleries to find artwork that answers a question posed by facilitators. Students present their theories and defend these ideas in a group discussion format during the two-hour program. The formalized ODIP process provides a framework for students to express their ideas, and by utilizing learning communities create an opportunity for openness and discussion that may not exist between new acquaintances participating in the AoA program de novo. The ODIP strategy is not unique to the AoA program but has been developed by CMA in its efforts to aid critical and personal interpretations of artwork. It is designed to apply to various learners, and is easily applicable to the adult-style learners with varying backgrounds unique to medical training. It is the goal of the AoA program to create abilities in teamwork, tolerance of alternate ideas, an empathy particular to the visual arts, and critical thinking skills. Correlation between the AoA program and ODIP format can easily be made with medical rounds and the process of developing a differential diagnosis as healthcare continues to transition into a more inclusive, multi-disciplinary team approach to health and disease prevention. The AoA program at CMA serves as an important tool in the education of physicians at OSUCOM, helping in the development of skills essential to the clinical practice of medicine.
分析的艺术(AoA)是俄亥俄州立大学医学院(OSUCOM)和哥伦布艺术博物馆(CMA)的一项合作努力,旨在为参加学习社区的医科学生提供情感支持,并鼓励学生通过艰苦的医学训练过程,培养批判性思维技能;产生共鸣;增加对歧义的容忍度;建立团队解决问题的能力;并通过对艺术品的观察,考虑多个角度。虽然过去有几家医学教育机构描述过类似的项目,但AoA采用了一种独特的批判性思维策略,称为“ODIP”(观察、描述、解释、证明)。小组参与者包括医学生、学习社区教师(OSUCOM的教师)和促进和指导AoA方案的CMA教育工作者。小组在项目开始前设定期望,强调项目的目标和目的。然后,学生们使用ODIP策略作为一个小组来解释一件艺术作品,然后他们单独冒险进入画廊寻找艺术品,以回答主持人提出的问题。在两个小时的课程中,学生们以小组讨论的形式展示他们的理论并为这些观点辩护。正式的ODIP过程为学生提供了一个表达他们想法的框架,并通过利用学习社区创造了一个开放和讨论的机会,这在参加AoA项目的新熟人之间可能不存在。ODIP策略并不是AoA项目所独有的,而是由CMA开发的,旨在帮助对艺术品进行批判性和个人解读。它的设计适用于不同的学习者,并且很容易适用于不同背景的成人式学习者独特的医学培训。AoA项目的目标是培养团队合作能力、对不同想法的容忍能力、对视觉艺术的同理心以及批判性思维能力。随着医疗保健继续向更具包容性、多学科的健康和疾病预防团队方法过渡,AoA计划和ODIP格式之间的相关性可以很容易地通过查房和制定鉴别诊断的过程来确定。CMA的AoA项目是OSUCOM医生教育的重要工具,有助于发展医学临床实践所需的技能。
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引用次数: 13
The Use of Narrative in Medical Education. 叙事在医学教育中的运用。
Pub Date : 2012-01-01 DOI: 10.21977/D9812656
S. Arjmand
A course was designed for medical students in which literature and writing exercises were used to promote reflection on cross-cultural patient encounters. Students were encouraged to consider Kleinman’s principles of open-ended questioning as the basis for enhancing these patient conversations and were prompted to develop skills in close reading of texts, specifically recognition of the reader’s response to narrative, understanding of point of view, and recognition of the impulse to create story, or plot. Transcriptions of class discussion and material from written essays were used to inform the instructor’s understanding of learners’ progress. This study may offer a new conceptual lens for viewing ways in which cultural competency and other features of physician-patient communication may be taught using narrative skill training. When anchored to exercises in reflective writing, student learners develop a framework with which to view and interpret their patient stories.
为医科学生设计了一门课程,其中使用文学和写作练习来促进对跨文化病人接触的思考。学生们被鼓励将Kleinman的开放式提问原则作为加强这些耐心对话的基础,并被提示培养细读文本的技能,特别是识别读者对叙述的反应,对观点的理解,以及识别创造故事或情节的冲动。课堂讨论的抄录和书面论文的材料被用来告知教师对学习者进展的理解。本研究可能提供一个新的概念视角,以观察如何使用叙事技巧训练来教授医患沟通的文化能力和其他特征。在反思性写作练习中,学生学习者形成了一个框架,用这个框架来看待和解释他们的病人故事。
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引用次数: 6
An Open Letter to our Future Students in “Narrative and the Caring Professions” 致未来“叙事与关怀专业”学生的公开信
Pub Date : 2012-01-01 DOI: 10.21977/D9812658
Chris Osmond, S. Cumbie, M. Dale, David Hostetler, James M. Ivory, Deb Phillips, K. Reesman
A group of nursing, social work, education, and English faculty worked together for a year to explore how literature experiences designed for medical education might enhance professional preparation in their fields and address their common dilemmas of caregiving. The resulting insights reveal the ways in which adaptations of narrative medicine models offer benefits for students in these “caring professions.” They also indicate the promise of interdisciplinary reading experiences among students from these fields and suggest how these frameworks might address their common challenges of burnout and erosion of empathy in early clinical experience. This “open letter” to future students who will participate in an interdisciplinary reading group describes the challenges facing the professions of nursing, social work, and education, and explores the ways that doing narrative work together will prepare students to meet them.
一群护理、社会工作、教育和英语教师一起工作了一年,探索为医学教育设计的文学体验如何加强他们领域的专业准备,并解决他们在护理方面的共同困境。由此产生的见解揭示了叙事医学模式的适应方式,为这些“护理专业”的学生提供了好处。他们还指出了这些领域的学生跨学科阅读体验的前景,并建议这些框架如何解决他们在早期临床经验中遇到的倦怠和同理心侵蚀的共同挑战。这封写给将要参加跨学科阅读小组的未来学生的“公开信”描述了护理、社会工作和教育等专业所面临的挑战,并探讨了在一起做叙事工作的方式,让学生们做好迎接挑战的准备。
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引用次数: 4
Introduction to Teaching and Learning through the Arts 艺术教学导论
Pub Date : 2011-06-13 DOI: 10.21977/D97110000
K. Burge
Author(s): Burge, Kim | Abstract: Articles in this issue of the Journal for Learning through the Arts report on the efforts of researchers and teachers to understand the components and outcomes of effective arts programs. The authors are pursuing the overall goal of improving arts education for all children and youth. And, in the process, helping them to employ their imagination and creativity throughout their lives.
摘要:这期《通过艺术学习》杂志上的文章报道了研究人员和教师为理解有效艺术课程的组成部分和结果所做的努力。作者追求的总体目标是改善所有儿童和青少年的艺术教育。在这个过程中,帮助他们在一生中运用他们的想象力和创造力。
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引用次数: 0
Activating Student Engagement through Drama-Based Instruction. 通过戏剧教学激活学生参与。
Pub Date : 2011-06-13 DOI: 10.21977/D97110007
S. Cawthon, Katie Dawson, Shasta Ihorn
Drama for Schools (DFS) is an arts integration professional development program that trains teachers to use drama-based instruction techniques. The DFS strategies aim to connect student learning to their lived experiences in a manner consistent with authentic instruction principles. The focus of this mixed-methods study was on the relationship between increase in authentic instruction, level of student engagement, and articulation by teachers regarding the participation of their middle school students in classroom activities. Pre-post measures indicate that student engagement increased as a result of drama-based instruction strategies. These lesson plan measures also demonstrated how teachers changed their articulation of student engagement. Discussion focuses on how the relationship between the DFS program structure, participants’ pedagogy, and student outcomes fit into, and challenge, the overall critical pedagogical framework of the program.
学校戏剧(DFS)是一个艺术综合专业发展计划,培训教师使用戏剧为基础的教学技术。DFS策略旨在以符合真实教学原则的方式将学生的学习与他们的生活经验联系起来。这项混合方法研究的重点是真实教学的增加、学生参与水平和教师对中学生参与课堂活动的表达之间的关系。前后测量表明,基于戏剧的教学策略增加了学生的参与度。这些课程计划措施也显示了教师如何改变他们对学生参与的表述。讨论的重点是DFS项目结构、参与者的教学法和学生成果之间的关系如何适应并挑战该项目的整体关键教学框架。
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引用次数: 33
期刊
Journal for Learning through the Arts
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