叙事医学在医学生培养中的应用

The Application of Narrative Medicine in the Training of Medical Students

摘要: 将叙事医学应用于医学教育中，是医学人文属性的必然要求，理应贯穿医学教学过程中。关注、再现和归属是叙事医学的核心内容。细读法与反思性写作是提升叙事能力必须掌握的两个工具。对医学生而言，提高自身叙事能力可以从“关注–再现–归属”三步做起。对于教师而言，通过“双轨病历”等形式将细读与反思性写作应用于医学生教育中，不仅可以提升医学生的叙事能力，而且对其医学人文素养及医患沟通能力也大有裨益。

Abstract: The application of narrative medicine in medical education is an inevitable requirement of Medical Humanity Attributes, and it should run through the medical education. Attention, representation and attribution are the core contents of narrative medicine. Close reading and reflective writing are two tools to improve narrative ability. To improve narrative ability, medical students can start with three steps: “Attention-reproduction-attribution”. For the teachers, the application of close reading and reflective writing in medical students’ education through the forms of “Double track medical record” can not only improve the narrative ability of medical students, it is also beneficial to the medical humanistic quality and the ability of doctor-patient communication.