Application of narrative medicine in the clinical teaching of oral mucosal diseases

Du Guanhuan; Deng Yiwen; Liu Lijun; Shen Xuemin

doi:10.3760/cma.j.cn116021-20230619-01521

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Application of narrative medicine in the clinical teaching of oral mucosal diseases

Teaching Reform Special Column of Shanghai Jiao Tong University School of Medicine | 更新时间：2023-12-26

- Application of narrative medicine in the clinical teaching of oral mucosal diseases
- Chinese Journal of Medical Education Research Vol. 22, Issue 12, Pages: 1792-1795(2023)
- 作者机构：
  
  上海交通大学医学院附属第九人民医院口腔黏膜病科，上海交通大学口腔医学院，国家口腔医学中心，国家口腔疾病临床医学研究中心，上海市口腔医学重点实验室，上海市口腔医学研究所，上海　200011
- 作者简介：
  
  Shen Xuemin, Email: kiyoshen@163.com
- 基金信息：
  
  Hospital Management Research Project of Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine - Teaching Category(YGB202115)
- DOI：10.3760/cma.j.cn116021-20230619-01521
  CLC： R-05
- Published：20 December 2023，
  
  Received：19 June 2023，
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杜观环, 邓一文, 刘丽骏, 等. 叙事医学在口腔黏膜病学临床实习带教中的应用研究[J]. 中华医学教育探索杂志, 2023, 22(12): 1792-1795.

Du Guanhuan, Deng Yiwen, Liu Lijun, et al. Application of narrative medicine in the clinical teaching of oral mucosal diseases. [J]. Chinese Journal of Medical Education Research 22(12):1792-1795(2023)
杜观环, 邓一文, 刘丽骏, 等. 叙事医学在口腔黏膜病学临床实习带教中的应用研究[J]. 中华医学教育探索杂志, 2023, 22(12): 1792-1795. DOI： 10.3760/cma.j.cn116021-20230619-01521.

Du Guanhuan, Deng Yiwen, Liu Lijun, et al. Application of narrative medicine in the clinical teaching of oral mucosal diseases. [J]. Chinese Journal of Medical Education Research 22(12):1792-1795(2023) DOI： 10.3760/cma.j.cn116021-20230619-01521.

摘要

目的

探讨叙事医学理念下的带教实践对提高口腔黏膜病科实习生共情水平的影响。

方法

将上海交通大学口腔医学院2018级口腔医学专业实习生分为两组，分别为加入叙事医学教学组（即在实习前和实习过程中均加入叙事医学的相关理念和方法）（27人）和传统教学组（即无叙事医学相关理念和方法的加入，在带教教师常规指导下学生直接接诊患者）（21人）。利用问卷收集学生一般情况，采用中文版杰弗逊同理心量表（Jefferson scale of physician empathy，JSPE）（医学生版）测量学生共情水平，实习结束后统计分析2组学生的实习成绩，以及问卷调查叙事医学教学组学生对叙事医学指导下的实习认可度。利用GraphPad Prism 9.3.0进行

检验和秩和检验。

结果

传统教学组学生的同理心量表得分为（92.26±8.23），而叙事医学教学组学生得分为（104.20±15.65），差异有统计学意义（

=2.70，

=0.005）。此外，88.89%（24/27）的学生对参与叙事医学指导下的实习有兴趣。但是，叙事医学教学组学生的实习成绩为（87.28±2.77），传统教学组学生的实习成绩为（85.47±4.31），两者差异无统计学意义（

=1.68，

=0.100）。

结论

在口腔黏膜病学实习带教过程中融入叙事医学理念和方法能提高实习生的共情能力，让学生树立同理心与科学素养同样重要的意识。

Abstract

Objective

To investigate the effect of teaching practice under the concept of narrative medicine on improving the empathy level of interns in oral mucosal diseases.

Methods

The interns of stomatology in the class of 2018 in School of Stomatology

Shanghai Jiao Tong University

were divided into narrative medicine teaching group (27 interns receiving narrative medicine concepts and methods before and during internship) and traditional teaching group (21 interns received patients directly under the guidance of teachers without the addition of narrative medicine concepts and methods). A questionnaire was used to collect the general information of students

and the Chinese version of Jefferson Scale of Physician Empathy (JSPE) (the version for medical students) was used to measure the empathy level of students. After the end of internship

a statistical analysis was performed for the scores of both groups

and a questionnaire survey was conducted to investigate the acceptance of internship under the guidance of narrative medicine among the students in the narrative medicine teaching group. GraphPad Prism 9.3.0 was used to perform the

-test and the rank sum test.

Results

There was a significant difference in JSPE score between the traditional teaching group and the narrative medicine teaching group (92.26±8.23 vs. 104.20±15.65

=2.70

=0.005)

and in addition

88.89% (24/27) of the students in the narrative medicine teaching group were interested in participating in internship under the guidance of narrative medicine. However

there was no significant difference in the score of internship between the narrative medicine teaching group and the traditional teaching group (87.28±2.77 vs. 85.47±4.31

=1.68

=0.100).

Conclusions

Incorporating the concepts and methods of narrative medicine into clinical teaching of oral mucosal diseases can significantly improve the empathy ability of interns and raise the awareness that empathy is as important as scientific literacy among students.

关键词

叙事医学口腔黏膜病学实习带教共情水平

Keywords

Narrative medicineOral mucosal diseasesInternship teachingEmpathy level

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