美国跨文化医学教育实践及其启示：以哈佛医学院为例

Xu Nana

doi:10.3760/cma.j.cn116021-20240521-02008

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美国跨文化医学教育实践及其启示：以哈佛医学院为例

Educational Research | 更新时间：2025-04-27

- 美国跨文化医学教育实践及其启示：以哈佛医学院为例
- Chinese Journal of Medical Education Research Vol. 24, Issue 4, Pages: 485-489(2025)
- 作者机构：
  
  天津医科大学医学人文学院，天津 300070
- 作者简介：
  
  Email：443848805@qq.com
- 基金信息：
  
  2021 Tianjin Municipal Education Commission Research Program(2021SK181)
- DOI：10.3760/cma.j.cn116021-20240521-02008
  CLC： R-05
- Received：21 May 2024，
  
  Published：20 April 2025
- 稿件说明：
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徐娜娜. 美国跨文化医学教育实践及其启示：以哈佛医学院为例[J]. 中华医学教育探索杂志, 2025, 24(4): 485-489.

Xu Nana. [J]. Chinese journal of medical education research, 2025, 24(4): 485-489.
徐娜娜. 美国跨文化医学教育实践及其启示：以哈佛医学院为例[J]. 中华医学教育探索杂志, 2025, 24(4): 485-489. DOI： 10.3760/cma.j.cn116021-20240521-02008.

Xu Nana. [J]. Chinese journal of medical education research, 2025, 24(4): 485-489. DOI： 10.3760/cma.j.cn116021-20240521-02008.

摘要

通过网页调查法，对美国哈佛医学院在跨文化医学教育方面的实践经验进行总结分析。研究发现，哈佛医学院主要通过3个方面展开跨文化医学教育：开设跨文化能力相关课程、实施多元化的项目计划，以及提供相关奖项和资源支持。哈佛医学院的跨文化医学教育实践体现了以患者为中心的教育理念，倡导以实践为导向的社区服务培养方式，注重沉浸式的学习体验。这凸显了该校跨文化医学教育理论与实践并重的特点。国内医学院校可以借鉴哈佛医学院的教育理念和实践方法，探索具有中国特色的跨文化医学教育路径，进一步提升医务人员的跨文化医疗能力，为推进健康中国建设和构建人类卫生健康共同体贡献力量。

Abstract

Through web-based survey methods

this study summarizes the practical experiences of Harvard Medical School in cross-cultural medical education. Harvard Medical School carries out cross-cultural medical education mainly in the following three aspects: offering courses on cross-cultural competence

implementing diverse programs and projects

and providing awards and resources. The practices embody a patient-centered educational philosophy

advocate a practice-oriented community service training approach

and emphasize immersive learning experiences. These highlight a balanced focus on both theory and practice. Domestic medical schools can learn from the educational philosophy and practical methods of Harvard Medical School to explore cross-cultural medical education paths with Chinese characteristics

which can enhance the cross-cultural medical competence of healthcare professionals for better constructing a Healthy China and building a global community of health for all.

关键词

Keywords

references

于钦明，鲁晓凡，王玮，等 . 论人类卫生健康共同体的生成逻辑及世界意义 [J ] . 中国医学伦理学， 2023 ， 36 （ 6 ）： 593 - 596 . DOI: 10.12026/j.issn.1001-8565.2023.06.01 http://dx.doi.org/10.12026/j.issn.1001-8565.2023.06.01 .

秦龙，孙萌 . 本体论基础、生存论考量、实践论内蕴：人类卫生健康共同体的三重逻辑 [J ] . 学习与实践， 2022 （ 8 ）： 14 - 22 . DOI: 10.19624/j.cnki.cn42-1005/c.2022.08.013 http://dx.doi.org/10.19624/j.cnki.cn42-1005/c.2022.08.013 .

程宇 . 新形势下医学生跨文化交际能力培养的迫切性及对策 [J ] . 医学教育研究与实践， 2019 ， 27 （ 5 ）： 789 - 792 . DOI: 10.13555/j.cnki.c.m.e.2019.05.015 http://dx.doi.org/10.13555/j.cnki.c.m.e.2019.05.015 .

Betancourt JR , Cervantes MC . Cross-cultural medical education in the United States: key principles and experiences [J ] . Kaohsiung J Med Sci , 2009 , 25 ( 9 ): 471 - 478 . DOI: 10.1016/S1607-551X(09)70553-4 http://dx.doi.org/10.1016/S1607-551X(09)70553-4 .

张贺，齐佳茵，李鲤 . 医学生跨文化医疗能力现状调查与分析 [J ] . 医院管理论坛， 2022 ， 39 （ 3 ）： 31 - 34， 78 . DOI: 10.3969/j.issn.1671-9069.2022.03.009 http://dx.doi.org/10.3969/j.issn.1671-9069.2022.03.009 .

Smedley BD , Stith AY , Nelson AR . Unequal treatment: Confronting racial and ethnic disparities in health care [M ] . Washington DC : The National Academies Press , 2003 : 199 - 212 .

CCCEC , Harvard Medical School . Curriculum [EB/OL ] . ( 2005 - 03 - 03 ) [2024-04-20] . http://www.hms.harvard.edu/cccec/curriculum http://www.hms.harvard.edu/cccec/curriculum .

White AA , Logghe HJ , Goodenough DA , et al . Self-awareness and cultural identity as an effort to reduce bias in medicine [J ] . J Racial Ethn Health Disparities , 2018 , 5 ( 1 ): 34 - 49 . DOI: 10.1007/s40615-017-0340-6 http://dx.doi.org/10.1007/s40615-017-0340-6 .

Greta Friar . Combating Bias in Medicine: Insights from HMS course offer model to counter inequitable care [EB/OL ] . ( 2017 - 08 - 07 ) [2024-05-21] . https://hms.harvard.edu/news/combating-bias-medicine https://hms.harvard.edu/news/combating-bias-medicine .

Walkowska A , Przymuszała P , Marciniak-Stępak P , et al . Enhancing cross-cultural competence of medical and healthcare students with the use of simulated patients-a systematic review [J ] . Int J Environ Res Public Health , 2023 , 20 ( 3 ): 2505 . DOI: 10.3390/ijerph20032505 http://dx.doi.org/10.3390/ijerph20032505 .

Taylan C , Weber LT . "Don't let me be misunderstood": communication with patients from a different cultural background [J ] . Pediatr Nephrol , 2023 , 38 ( 3 ): 643 - 649 . DOI: 10.1007/s00467-022-05573-7 http://dx.doi.org/10.1007/s00467-022-05573-7 .

HMS Mission and Values [EB/OL ] . [ 2024-04-21 ] . https://dicp.hms.harvard.edu/about/hms-mission-and-values https://dicp.hms.harvard.edu/about/hms-mission-and-values .

Harvard Medical School Diversity Statement [EB/OL ] . [2024- 04 - 21 ] . https://hms.harvard.edu/about-hms/campus-culture/diversity-inclusion/harvard-medical-school-diversity-statement https://hms.harvard.edu/about-hms/campus-culture/diversity-inclusion/harvard-medical-school-diversity-statement .

Better Together Plan: Harvard Medical School as a Destination for Diverse Individuals [EB/OL ] . [ 2024-04-21 ] . https://hms.harvard.edu/about-hms/campus-culture/diversity-inclusion/better-together-plan https://hms.harvard.edu/about-hms/campus-culture/diversity-inclusion/better-together-plan .

DICP Mission [EB/OL ] . [ 2024-04-21 ] . https://dicp.hms.harvard.edu/about/dicp-mission https://dicp.hms.harvard.edu/about/dicp-mission .

College: Overview [EB/OL ] . [ 2024-04-21 ] . https://dicp.hms.harvard.edu/dicp-programs/college https://dicp.hms.harvard.edu/dicp-programs/college .

Medical and Graduate: Visiting Clerkship Program [EB/OL ] . [ 2024-04-23 ] . https://dicp.hms.harvard.edu/dicp-programs/medical-and-graduate/vcp https://dicp.hms.harvard.edu/dicp-programs/medical-and-graduate/vcp .

Community Engagement and Education: Overview [EB/OL ] . [ 2024-04-23 ] . https://dicp.hms.harvard.edu/dicp-programs/community-engagement-and-education https://dicp.hms.harvard.edu/dicp-programs/community-engagement-and-education .

Awards and Recognitions: Awards [EB/OL ] . [ 2024-04-23 ] . https://dicp.hms.harvard.edu/awards-and-recognitions/overview https://dicp.hms.harvard.edu/awards-and-recognitions/overview .

Unconscious Bias [EB/OL ] . [ 2024-04-24 ] . https://unconsciousbias.hms.harvard.edu/ https://unconsciousbias.hms.harvard.edu/ .

Videos [EB/OL ] . [ 2024-04-24 ] . https://unconsciousbias.hms.harvard.edu/?page_id=22 https://unconsciousbias.hms.harvard.edu/?page_id=22 .

Carrillo JE , Green AR , Betancourt JR . Cross-cultural primary care: a patient-based approach [J ] . Ann Intern Med , 1999 , 130 ( 10 ): 829 - 834 . DOI: 10.7326/0003-4819-130-10-199905180-00017 http://dx.doi.org/10.7326/0003-4819-130-10-199905180-00017 .

Charleston L 4th . Cross-cultural headache care within the United States: speaking the unspoken [J ] . Headache , 2020 , 60 ( 8 ): 1832- 1836. DOI: 10.1111/head.13878 http://dx.doi.org/10.1111/head.13878 .

张国洋，赵丽文，胡圆圆，等 . 上海市医学院校本科阶段医学人文教育的现状、困境与对策 [J ] . 医学与社会， 2023 ， 36 （ 2 ）： 102 - 106 . DOI: 10.13723/j.yxysh.2023.02.019 http://dx.doi.org/10.13723/j.yxysh.2023.02.019 .

邹明洁 . 中医药院校学生跨文化能力实证调查及对策研究：以广州中医药大学为例 [J ] . 医学教育研究与实践， 2021 ， 29 （ 4 ）： 614 - 618 . DOI: 10.13555/j.cnki.c.m.e.2021.04.029 http://dx.doi.org/10.13555/j.cnki.c.m.e.2021.04.029 .

Changoor NR , Udyavar NR , Morris MA , et al . Surgeons' perceptions toward providing care for diverse patients: the need for cultural dexterity training [J ] . Ann Surg , 2019 , 269 ( 2 ): 275 - 282 . DOI: 10.1097/SLA.0000000000002560 http://dx.doi.org/10.1097/SLA.0000000000002560 .

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