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The missing curriculum: experience with emotional competence education and training for premedical and medical students.

机译:缺少的课程:对医学和医学生进行情感能力教育和培训的经验。

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摘要

Medical education has long overlooked teaching the normal psychodynamics of everyday adult life (psychonormality) in favor of training in psychopathology. Proficiency in psychonormality skills (i.e., emotional competence) includes skilled management of internal emotions, external situations and relationships, and promotes patient satisfaction and healthcare outcomes as well as better mental health for practitioners. In particular, teaching psychonormality skills can be helpful to underrepresented minority (URM) students whose psychonormality experiences may differ from the culture of mainstream medical education. This paper outlines a clinically derived, pragmatic, five-step course designed to educate and train students for emotionally competent medical practice. A real-life example taken from an introductory workshop presentation of this course at a Student National Medical Association meeting is presented to illustrate the student-oriented application of the concepts. The enthusiastic reception accorded such workshops suggests an unmet need for this type of training in medical curricula. Benefits could include improved doctor-patient relationships and associated healthcare outcomes as well as higher retention of competent, professional, satisfied and healthier physicians, particularly URMs. Medical schools and residencies are encouraged to carefully evaluate the impact of incorporating psychonormality education and emotional competence training into their present curricula and faculty development.
机译:长期以来,医学教育忽视了教授成年人的正常心理动力学(心理正常性),而倾向于进行心理病理学培训。心理正常技能(即情绪能力)方面的技能包括对内部情绪,外部状况和人际关系的熟练管理,并可以提高患者满意度和医疗保健效果,并为从业者提供更好的心理健康。尤其是,教学心理正常技能可能会帮助其心理正常经验可能与主流医学教育文化不同的代表性不足的少数族裔(URM)学生。本文概述了临床衍生的,务实的,分为五个步骤的课程,旨在教育和培训学生情感上有能力的医学实践。在学生全国医学协会会议上,从该课程的入门讲习班演示中获取了一个真实的例子,以说明这些概念的面向学生的应用。举办此类讲习班的热情接待表明,对此类医学课程培训的需求尚未得到满足。好处可能包括改善医患关系和相关的医疗保健结果,以及保留合格,专业,满意和健康的医生,特别是URM的机会更高。鼓励医学院校和住院医师认真评估将心理正常教育和情感能力培训纳入其现有课程和教师发展的影响。

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