Application of narrative medicine courses in standardized residency training in municipal hospital
10.3760/cma.j.cn116021-20211022-01078
- VernacularTitle:叙事医学课程在地市级医院住院医师规范化培训中的应用
- Author:
Huiwei CHEN
1
;
Manhui HUANG
;
Mingming QI
;
Lanying TANG
;
Xiaozhen ZHOU
;
Ying LU
;
Zhiming LIU
;
Qing ZHOU
Author Information
1. 中南大学湘雅医学院附属株洲医院教学科，株洲 412007
- Keywords:
Narrative medicine;
Municipal hospital;
Standardized residency training;
Empathy ability;
Comprehensive ability
- From:
Chinese Journal of Medical Education Research
2022;21(11):1543-1547
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of narrative medicine course on the empathy ability and comprehensive ability training of residents in the standardized residency training in municipal hospitals.Methods:A narrative medicine group was set up in a municipal hospital, and a anarrative medical course of 2 months of narrative theory teaching and 4 months of clinical practice education was carried out among 42 residents. The Chinese version of the Interpersonal Response Index Scale (IRI-C) was used to measure the empathy ability at 4 time points (before intervention, 2 months after theory education, 2 months after practice, and 4 months after practice). The effect of narrative medicine courses was evaluated through the satisfaction questionnaire survey, parallel medical record writing and the first-time pass rate of Medical Practitioner Qualification Examination. SPSS 25.0 was used to analyze the variance of one-way repeated measurement.Results:The empathy ability of 42 residents was significantly improved. The empathy score after 2 months after practice was higher than that before intervention and after the theoretical course ( P < 0.05), while the empathy score after 4 months of practice was higher than that before intervention and after the theoretical course ( P < 0.05). The most popular theoretical teaching forms among residents were interactive theoretical teaching (64.29%, 27/42), video viewing (59.52%, 25/42), and situational simulation (52.38%, 22/42). The comprehensive abilities of parallel medical record writing and podium performance among residents were improved. Passing the Medical Practitioner Qualification Examination is a necessary condition for passing the residency training program. The first-time pass rate of the Qualification Examination for the residents was 72.00% (18/25), which was higher than that of the residents who were not recruited during the same period (64.71%, 11/17). Conclusion:Carrying out narrative medicine education is helpful to improve the empathy ability and comprehensive ability of training residents in municipal hospitals.
