住院医师人文医学核心课程体系的初步研究

Preliminary study of humanistic medicine courses system for resident doctors

目的初步建立住院医师培训阶段人文医学培训及相关课程设置。方法采用德尔菲专家咨询法,选择30名熟悉住院医师培训的教育、临床及管理领域的专家进行两轮问卷调查,初步确定住院医师人文医学核心课程体系的设置。结果不同领域专家对人文课程的选择以及其他课程指标的选择上都有较高的一致性,初步确定住院医师人文医学核心课程体系由4个类别(沟通技巧类、职业导航类、客户服务类和人文社科类)12项二级课程组成,分为必修课和选修课分布在住院医师的3年培训过程中。排名前三位的课程分别为《医患沟通技巧》《团队合作》和《应急事件处理》。结论住院医师人文医学课程的设置有必要且有需求,住院医师培训基地应重视并加强对住院医师人文医学课程的建立,培训一批能够教授人文医学课程的医师,加强住院医师对人文医学的重视。

Objective To establish humanistic medicine courses system in training semester for resident doctors. Methods Thirty experts acquainting resident doctors＇ training, clinical education, and administration were selected, and then they were interviewed in 2 rounds survey by Dephi method. Based on survey results, the humanistic medicine courses system was established. Results All the experts had sense of coherence in selecting humanistic medicine courses, and 4 categories including 12 courses were confirmed. The 4 categories consisted of skills in communication, career navigation, customer service, and humanistic and social courses. The 12 courses included compulsory and optional courses, and skills in communication with patients, team-work training, and emergency handling ranked in the top three positions. Conclusion The humanistic medicine courses should be set for resident doctors in training semester. In resident doctors＇ training bases, we should enhance training to teachers who taught humanistic medicine course and heighten attention of resident doctors to humanistic medicine