医患沟通的叙事转向与医学生医学叙事能力的培养

生物－心理－社会医学模式下有效的医疗实务需要医生具备叙事和沟通能力。叙事逐步应用于医学实践和研究,促成了叙事研究方法与医学的结合。“叙事医学”推动了医患沟通研究的叙事转向,也为医学人文教育提供了新的视角。在医患沟通过程中,医生叙事能力的合理运用,有助于实现医患之间的有效沟通,构建和谐医患关系。在医学教育中,应通过课堂教学和临床见习带教两种途径相结合的教学策略培养和提高医学生的医学叙事能力。

The narrative turn in doctor-patient communication research and cultivation of medical students' medical narrative competence

Effective medical practice in the bio-psycho-social medical model calls for the doc-tor''s narrative and communicative skills. The gradual application of narratives in medical practice and research facilitates the combination of narrative methods with medical science. The "narrative medi-cine" movement greatly promotes the narrative turn in the research of doctor-patient communication and provides a new perspective in medical humanities education. In the process of doctor-patient com-munication, the appropriate use of doctors'' high narrative competence contributes to effective doctor-patient communication and helps to build a harmonious doctor-patient relationship. In medical educa-tion, the teaching strategy of combining classroom teaching with clinical probation teaching should be adopted to cultivate and enhance medical students'' medical narrative competence.