题名

An Integrative Curriculum of Perseverance Enhancement for Medical Students throughout their Early Career: Literature Review and Design Proposal

DOI

10.6145/jme.202009_24(3).0003

作者

Shih-Cheng Liao;Ming-Been Lee

关键词

medical ethics education ; physician-patient relationship ; difficult encounters ; medical dispute ; emotional resilience

期刊名称

Journal of Medical Education

卷期/出版年月

24卷3期(2020 / 09 / 01)

页次

113 - 125

内容语文

英文

中文摘要

Difficult patients or encounters related to medical disputes are essential sources of emotional stress for medical personnel. There is no useful ready-made model to alleviate the burden, and the management of medical disputes requires in-depth understanding and intervention. The best strategies for early career doctor's emotional resilience and perseverance training are still to be studied. An ideal course should be intersected between different grades and extended to the postgraduate hospital teaching courses. This review aims to consolidate current shreds of evidence about the association between physician job stress and physician-patient relationship; to find the possible solution to enhance physician's inner resources through medical education; to propose a feasible curriculum design to actualize this goal. The current knowledge-practice gap, which includes these vital teaching objectives such as treating difficult patients, physician-patient communication, preventing medical disputes, and emotional resilience, need to be integrated. Based on this review, we proposed an innovative vertical integration of training courses to improve medical students' emotional resilience from lower grades to the resident physicians. Stepwise and systemic exposure to designed difficult patients or encounters can further enhance system-based medical practice. Such courses could provide a fresh learning experience in medical education to improve physician-patient communication quality and enhance the perseverance when facing the challenging medical environment.

主题分类 醫藥衛生 > 醫藥總論
社會科學 > 教育學
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被引用次数
  1. Shih-Cheng Liao,Ming-Been Lee(2022)。The Evaluation of an Integrative Curriculum for Physician-patient Relationship and Emotional Resilience: from Medical College to Post-graduate Year。醫學教育,26(3),149-159。
  2. (2024)。困難醫病溝通下醫療人員需具備的技巧:實習醫學生與專家的觀點比較。台灣家庭醫學雜誌,34(2),84-93。