“医教协同”背景下构建专业学位硕士研究生朋辈心理辅导模式的思考

Construction of peer psychological counseling model for master's degree postgraduate students in the coordination between medicine and education

临床医学专业学位硕士研究生与住院医师规范化培训相结合是医疗教育的重大改革,对提高专业学位硕士研究生整体素质和临床诊疗能力具有重大意义。但并轨后对硕士专业学位研究生的培养提出了更高的要求,给学生造成巨大压力,以致并轨培养后部分学生存在心理失衡、焦虑抑郁、情绪低落等心理问题,甚至选择休学、转向科学学位研究生等,严重影响住院医师规范化培训质量,也背离了医教协同培养高素质医学人才的初衷。朋辈心理辅导是同学之间或年龄相仿的人之间进行的心理辅导,具有便于取信、形式多样、时间自由和针对性强的特点,是为适应硕士专业学位研究生心理辅导的一种有益尝试。笔者在临床带教实践中以实现教学相长为出发点,以朋辈心理辅导模式为抓手,以同一时期轮转同一科室的临床医学专业学位硕士研究生为小组,对其存在的心理问题,有针对性地请临床带教老师和既往规培中优秀的高年级学长进行梳理分析解答、一对一辅导;定时展开“茶歇会、书友会、科研沙龙、规培论坛”等分享规培轮转中遇到的临床问题、科研难题、生活情感困扰等;利用网络云平台定时推送临床医案分析、科研小技巧等,对解决临床医学专业学位硕士研究生心理问题具有重要意义。

The combination of clinical medical professional degree master's degree students and standardized training for residents is a major reform of medical education,which is of great significance to improve the overall quality and clinical diagnosis and treatment ability of professional degree master's degree students.However,after the merger,higher requirements are put forward for the training of master's degree graduates.These all put great pressure on professional degree master students,and some of them have developed psychological problems such as psychological imbalance,anxiety and depression,and even some choose to suspend schooling or switch to science degree graduates.This seriously affects the quality of standardized training for residents,also deviates from the original intention of training of high-quality medical talents.Peer psychological counseling is between classmates or people of similar age.It has the characteristics of easy access to trust,various forms,free time and strong pertinency,and is a useful attempt for psychological counseling of postgraduate students with master's degrees.In the practice of clinical teaching,the author takes the realization of teaching as the starting point,takes the peer psychological counseling mode as the guide,and takes the clinical master's degree graduate students who rotate in the same department in the same period as the group.For the psychological problems of the clinical master's degree graduate students,the clinical teaching teachers and the outstanding seniors in the previous training are invited to analyze and answer the questions and provide one-on-one counseling.The"tea break,book club,research salon,and training forum"for clinical master's degree students are held regularly to share the clinical problems,research problems,and emotional problems encountered during the training rotations.The network cloud platform is used to regularly provide suggestions,clinical medical case analysis,scientific research tips,etc.