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首页> 外文期刊>BMC Medical Education >Palliative care and the arts: vehicles to introduce medical students to patient-centred decision-making and the art of caring
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Palliative care and the arts: vehicles to introduce medical students to patient-centred decision-making and the art of caring

机译：姑息治疗和艺术：向医学生介绍以患者为中心的决策和护理艺术的工具

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Medical Schools are challenged to improve palliative care education and to find ways to introduce and nurture attitudes and behaviours such as empathy, patient-centred care and wholistic care. This paper describes the curriculum and evaluation results of a unique course centred on palliative care decision-making but aimed at introducing these other important competencies as well. The 20?h-long optional course, presented in an art museum, combined different learning methods, including reflections on art, case studies, didactic sessions, personal experiences of faculty, reflective trigger videos and group discussions. A mixed methods approach was used to evaluate the course, including a) a post-course reflective exercise; b) a standardized evaluation form used by the University for all courses; and c) a focus group. Twenty students (2nd to 6th years) participated. The course was rated highly by the students. Their understanding of palliative care changed and misconceptions were dispelled. They came to appreciate the multifaceted nature of decision-making in the palliative care setting and the need to individualize care plans. Moreover, the course resulted in a re-conceptualization of relationships with patients and families, as well as their role as future physicians. Palliative care decision-making therefore, augmented by the visual arts, can serve as a vehicle to address several competencies, including the introduction of competencies related to being patient-centred and empathic.
机译：医学院面临挑战，以改善姑息治疗教育，并找到方法来引入和培养诸如移情，以患者为中心的治疗和全面治疗之类的态度和行为。本文介绍了以姑息治疗决策为中心但也旨在介绍这些其他重要能力的独特课程的课程和评估结果。在美术馆举办的长达20小时的选修课结合了不同的学习方法，包括对艺术的反思，案例研究，教学会议，教师的个人经历，反思性触发视频和小组讨论。使用了一种混合方法来评估课程，包括：a）课后反思练习; b）大学用于所有课程的标准化评估表; c）一个焦点小组。 20名学生（2至6年级）参加了比赛。该课程受到学生的高度评价。他们对姑息治疗的理解发生了变化，误解被消除了。他们开始意识到姑息治疗环境中决策的多面性以及个性化护理计划的必要性。此外，该课程使人们重新认识了与患者和家庭的关系，以及他们作为未来医生的角色。因此，视觉艺术增强了姑息治疗决策的能力，可以作为应对多种能力的工具，包括引入与以患者为中心和同情心相关的能力。

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