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Persistent influence of a narrative educational program on physician attitudes regarding patient care

机译：叙事教育计划对患者护理的医生态度的持续影响

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Purpose: Educational approaches involving patient stories aim at enhancing empathy and patient-centered care; however, it is not known whether the influence of such programs on physician attitudes persists beyond medical school. Materials and methods: The Family Centered Experience (FCE) paired preclinical medical students with patient families over two years and engaged students in reflective dialogs about the volunteers' stories. This study examined possible long-term influences on attitudes toward medicine and doctoring. Interviews were conducted with former students at the end of or after post-graduate training. All had completed the FCE between 4 and 10 years before the study. Thematic analysis was informed by a constructivist Grounded Theory approach. Results: Several themes were identified. The FCE made graduates aware of the patients' perspectives and impacted their clinical practice in specific ways, such as developing collaborative partnerships, conducting family meetings, and breaking bad news. The course had influenced career choices and interest in teaching. Finally, the FCE enhanced appreciation of the human dimensions of medicine, which graduates had drawn upon in subsequent years. Conclusions: A program based on longitudinal interactions with individuals with chronic illness can have persistent influence by stimulating reflection on the patient's perspective and humanistic approaches to patient care.
机译：目的：涉及患者故事的教育方法旨在加强同理心和患者中心的护理;但是，尚不清楚这些计划对医生态度的影响是否持续到医学院之外。材料和方法：家庭中心经验（FCE）与患者家庭成对两年多的临界医学生，并参与了关于志愿者故事的反思对话中的学生。本研究审查了对医学和医生态度的可能性的长期影响。在研究生后培训结束时与前学生进行采访。所有在研究前4到10年之间完成了FCE。通过建构主义接地理论方法通知主题分析。结果：确定了几个主题。 FCE使毕业生意识到患者的观点，并以特定方式影响其临床实践，例如开发合作伙伴关系，进行家庭会议，打破坏消息。该课程影响了教学的职业选择和兴趣。最后，FCE提高了对医学的人体维度的升值，毕业生在随后的几年中被吸引。结论：通过慢性疾病患者的纵向相互作用，通过刺激对患者的观点和人文护理方法的反思来具有持续影响的程序。

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