目的 分析评估境外短期交流项目(short-term oversea exchange program,SOEP)对医学生医学人文素养培养的作用。方法 对2017年参加SOEP的北京大学医学部2012级八年制临床医学专业51名学生进行问卷调查和访谈,分析其出访报告。采用Nvivo 10和SPSS 18.0统计软件对主要数据进行分析。结果 92.2%(47/51)的学生认为SOEP对医学人文素养有正面影响。SOEP对医学人文素养的影响主要体现在以下几个方面:强化以患者为中心的服务理念[88.2%(45/51)];提高沟通能力,包括与患者积极有效沟通、平等交流的能力[82.4%(42/51)];加深对医学目的、医学伦理和卫生法规等问题的理解[70.6%(36/51)];坚定献身医学事业、为人类健康幸福奋斗的信念[82.4%(42/51)]。访谈和出访报告分析结果显示,学生认为SOEP可以使他们理解不同的医疗文化和医学人文理念,加深其以患者为中心的意识;面临新环境的挑战,能够不断提升自己的沟通能力;开始认真思考医学目的、职业道德、各种伦理和卫生法规问题;向国外资深教师学习“同道信仰、家国情怀” ,督促自己对医学事业不懈追求。结论 SOEP对培养临床医学专业学生的医学人文素养、塑造全面的医学人才发挥了良好的作用。
Objective To examine the effect of short-term oversea exchange programs (SOEP) on medical humanities education. Methods The data is collected through study reports, questionnaires and interviews of 51 students majored in clinical medicine in Peking University Health Science Center who participated in SOEP in 2017. The data is analyzed by Nvivo 10 and SPSS 18.0 software. Results Totally 92.2% (47/51) of the students believe SOEP has positive effect on medical humanities education. The medical humanities education effects of SOEP are mainly shown in the following four aspects: enhance patient-centered service concept [88.2% (45/51)]; improve students' communication skills, including skills to communicate effectively and equally with the patient [82.4% (42/51)]; deepen understanding of medical purposes, ethical issues, and health laws etc. [70.6% (36/51)]; consolidate students' spirit to pursuit medical development and human health and happiness [82.4% (42/51)]. Analysis of study reports and interviews showed that SOEP let students understand different medical culture and medical humanity concept, deepen their awareness of patient-centered care; improve their communication skills while facing the challenge of new environment; start thinking seriously about medical purposes, professional morals, ethics, and health laws etc.; learn faith and principles from oversea senior doctors, and strengthen their pursuit of medicine. Conclusions SOEP played a positive role in developing medical students' humanity and educating comprehensive medical talents.
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