A medical student elective promoting humanism, communication skills, complementary and alternative medicine and physician self-care: an evaluation of the HEART program.
A medical student elective promoting humanism, communication skills, complementary and alternative medicine and physician self-care: an evaluation of the HEART program.
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DOI：
10.1016/j.explore.2013.06.003
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发表时间：
2013-09
影响因子：
2.4
通讯作者：
Yeh, Gloria
中科院分区：
文献类型：
--
作者：
Dossett, Michelle L;Kohatsu, Wendy;Nunley, William;Mehta, Darshan;Davis, Roger B;Phillips, Russell S;Yeh, Gloria
2002年，AMSA创建了一个名为HEART的四年级医学生选修课程，为学生提供了在为期四周的沉浸式体验中探索医学人文主义，自我护理，补充和替代医学模式，沟通，行动主义和社区建设的机会。这个选修课的教育效果，以及它是否达到了既定的目标，是未知的。作者在2010年对前八批HEART毕业生进行了一项基于网络的横断面调查。调查问题评估了受访者的人口统计数据和对选修课教育影响的看法。描述性统计被用来描述样本和定性分析的扎根理论指导。在168名符合条件的校友中，有122人（73%）完成了调查。大多数为女性（70%），年龄≤35岁（77%），接受过初级保健专业培训（66%）。一半是实习医生。大多数受访者认为选修课教授的专业精神（89%）和沟通技巧（92%）好或非常好。大多数人高度同意，选修课帮助他们更好地科普住院医师培训期间的压力（80%），教他们自我护理技能（75%），并提高他们的同情心和与病人联系的能力（71%）。定性分析的选修课的个人和专业的影响，确定了12个共同的主题，自我发现，自我照顾，和合议发展/社区最常被引用。大多数HEART毕业生赞同学习重要的技能，并从个人和专业的经验中受益。HEART课程的各个方面可以帮助培训计划教授专业精神并提高受训者的幸福感。
In 2002 AMSA created a fourth year medical student elective known as HEART that provided the opportunity for students to explore humanism in medicine, self-care, complementary and alternative medicine modalities, communication, activism, and community building in a four week immersion experience. The educational effects of this elective, and whether it has met its stated goals, are unknown. The authors conducted a web-based, cross-sectional survey of the first eight cohorts of HEART graduates in 2010. Survey questions assessed respondents’ demographics and perspectives on the educational impact of the elective. Descriptive statistics were used to characterize the sample and qualitative analyses were guided by grounded theory. Of 168 eligible alumni, 122 (73%), completed the survey. The majority were female (70%), age ≤35 (77%), and trained in primary care specialties (66%). Half were attendings in practice. The majority of respondents felt the elective taught professionalism (89%) and communication skills (92%) well or very well. The majority highly agreed that the elective helped them better cope with stress during residency training (80%), taught them self-care skills (75%), and improved their ability to empathize and connect with patients (71%). Qualitative analysis of the personal and professional impact of the elective identified twelve common themes with self-discovery, self-care, and collegial development/community most frequently cited. The majority of HEART graduates endorse learning important skills and benefiting from the experience both personally and professionally. Aspects of the HEART curriculum may help training programs teach professionalism and improve trainee well-being.