医学教育中反思写作课程的意义及启示：以美国医学院本科教育为例

反思能力是对卫生专业人员基于能力评估的重要指标。为提高医学生反思能力，反思写作课程在美国很多高校被设为必修课，并贯穿医学教育整个过程。在此，概述反思写作能力培养流程，通过分析反思写作的形式、反思内容和评价量规，以探讨反思写作课程在改善医患关系、塑造职业精神和发展学术目标方面的积极意义。为提高我国医学生的反思写作能力，建议改善传统教学，形成跨专业的教学团队和评价体系，以及将反思写作课程纳入医师继续教育。

An analysis of reflective writing in the medical curriculum: a case study of undergraduate medical education in the United States

Reflective capacity is a very important tool of assessment for health professionals. Re-flective writing (RW) curriculum, aiming at promoting reflective capacity, is proliferating within American medical education. This paper generalizes the training process of RW capacity, its contents and evaluation tool. It discusses the meaningfulness of RW curriculum in improving doctor-patient relationship and profes-sionalism and developing academic goals. For better practice, the paper makes suggestions that we should reform our traditional medical education, develop interdisciplinary teams of teachers and evaluation tool and incorporate RW curriculum into continuing medical education.