Objective To explore the effect of narrative medical education on the cultivation of empathy and communication ability of otolaryngology residents. Methods Twenty-seven trainees from otolaryngological department of the Second Affiliated Hospital of Dalian Medical University from May to August 2022 were selected to receive clinical teaching of narrative medicine. Theoretical study includes 7 aspects such as parallel medical record writing methods, and practical application includes 3 aspects such as clinical diagnosis and treatment and parallel medical record writing.Jefferson empathy scale and doctor-patient communication behavior scale were used to assess the trainees before and after learning, respectively. χ2test was used to compare the difference of indexes before and after teaching. Results Before and after the learning in narrative medicine, the scores of Jefferson empathy scale were (104.5±3.1) and (116.5±5.4), and the scores of doctor-patient communication behavior scale were (136.6±5.5) and (152.0±5.5), respectively. The differences were statistically significant (all P<0.05). Conclusions Learning in narrative medicine can effectively improve the empathy and communication ability of otolaryngology residents, which serves to improve their humanistic quality and establish harmonious doctor-patient relationship.
Qu Hui
,
Guo Yan
,
Zhang Wei
. Discussion on the cultivation of empathy and communication ability of otolaryngology residents by narrative medical education[J]. Chinese Journal of Medical Education, 2023
, 43(7)
: 494
-497
.
DOI: 10.3760/cma.j.cn115259-20220921-01214
[1] Charon R. Narrative medicine: form, function, and ethics[J]. Ann Intern Med, 2001,134(1):83-87. DOI: 10.7326/0003-4819-134-1-200101020-00024.
[2]蒋凤碧,贺晓春.国外医学院校叙事医学教育研究进展[J].循证护理,2023,9(5):820-824
[3]张小群, 曾敬. 叙事医学在临床研究中的应用进展[J].医学与哲学,2020,41(6):61-64. DOI: 10.12014/j.issn.1002-0772.2020.06.16.
[4]蔡巧玲, 叶熊, 高静, 等. 构建整合的“叙事医学”实践体系培养医学生人文精神[J].教育教学论坛,2020,(25):183-184.
[5]曾向阳,袁静,肖松舒.浅谈叙事医学在临床医学研究生教学中的应用[J].教育教学论坛,2022(45):107-110.
[6]Charon R, Hermann N, Devlin M J. Close reading and creative writing in clinical education: teaching attention, representation, and affiliation[J]. Academic medicine: journal of the Association of American Medical Colleges, 2016, 91(3): 345.
[7]郑建盛,朱丽梅,徐海滢,等. 杰弗逊共情量表评价地方高校医学本科生共情能力的信效度检验[J]. 包头医学院学报,2019,35(12):84-87. DOI:10.16833/j.cnki.jbmc.2019.12.032.
[8]程全,邓云龙,李皇保,等. 医学生医患沟通行为量表的编制[J]. 中国高等医学教育,2009(10):8-9. DOI:10.3969/j.issn.1002-1701.2009.10.004.
[9]郭莉萍. 什么是叙事医学[J].浙江大学学报(医学版),2019,48(5):467-473. DOI: 10.3785/j.issn.1008-9292.2019.10.01.
[10]宫亮, 李里. 叙事医学在耳鼻咽喉头颈外科临床教学中的应用[J].中国继续医学教育,2018,10(15):31-32. DOI: 10.3969/j.issn.1674-9308.2018.15.015.
[11]Gianpaolo D. The change of paradigm in perinatal sciences: the role of narrative medicine and medical humanities[J]. Pediatr Neonat Individual Med, 2014,3(2):e030236.
[12]何立芸, 韩江莉, 黄静, 等. 以叙事医学提高临床医学生医患沟通能力[J].中国高等医学教育,2014,(9):70-71. DOI: 10.3969/j.issn.1002-1701.2014.09.035.
[13]岳波, 鲍红光, 金晓秋, 等. 基于叙事医学理念的平行病历写作培训对学生共情能力培养的研究[J].中国卫生产业,2020,17(15):141-143. DOI: 10.16659/j.cnki.1672-5654.2020.15.141.