摘要
约翰·霍普金斯模式的医学教育观点主要包括临床、教学、科研三位一体,融入医学人文元素及进行小班制教学、长学制、高淘汰率的精英教育。该模式在数次引入医学教育领域的实践中取得了卓越的成就,亦对20世纪上半叶的医患关系产生了诸多积极影响。当代医患关系产生了新的消极面,主要包含医学信息泛滥导致的信任度和依从性降低、医患双方信息不对称引起的患者攻击性倾向增强及医患共同决策的困难引发矛盾等问题,可通过借鉴约翰·霍普金斯模式的医学教育观点,并将其转化为更加符合当代情况的方式付诸行动,以培养医学人才为出发点对上述问题加以缓解,从而促进医患关系的改善。
The medical education perspective of the Johns Hopkins model mainly includes the integration of clinical,teaching,and scientific research,integrating medical humanities elements and conducting elite education with small class teaching,long learning,and high elimination rates.This model has made remarkable achievements in the practice of introducing it into the field of medical education several times,and also had many positive effects on the doctor-patient relationship in the first half of the 20th century.The contemporary doctor-patient relationship has generated new negative sides,mainly including reduced trust and compliance caused by the proliferation of medical information,increased aggression in patients due to information asymmetry between doctors and patients,and conflicts arising from difficulties in doctors-patient shared decision-making.These can be mitigated by taking action through drawing on the medical education perspective of the Johns Hopkins model and transforming it into a more in line with contemporary situations,as well as taking the cultivation of medical talents as the starting point,so as to promote the improvement of doctor-patient relationship.
作者
罗清
LUO Qing(School of Medicine,Nankai University,Tianjin 300071,China)
出处
《中国医学伦理学》
北大核心
2024年第3期272-277,共6页
Chinese Medical Ethics
关键词
约翰·霍普金斯模式
医学教育
医患关系
Johns Hopkins model
medical education
doctor-patient relationship
