文章基本信息

标题：Assessing wisdom-related competence in the context of medical education
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作者：Johannes Bur ; Ulrike-Marie Krause ; Robin Stark 等
期刊名称：MedEdPublish
电子版ISSN：2312-7996
出版年度：2016
卷号：5
期号：1
页码：1-14
DOI：10.15694/mep.2016.000008
出版社：Association for Medical Education in Europe (AMEE)
摘要：Background: Our model of wisdom-related competence distinguishes wisdom-relevant and wisdom-specific knowledge and attitudes (13 dimensions in total) as a basis for constructive action in complex social contexts such as professional therapeutic situations.Purpose: Based on this model reflecting modern challenges of medical education, we aimed at assessing medical students’ wisdom-related competence in general and as a function of scenario content, age and study progress.Methods: We conducted scenario-based interviews with a sample of 15 medical students. All participants were faced with same four scenarios reflecting complex situations. Then, we performed a content analysis on the interview transcripts using a specific coding manual.Results: Findings indicate a low level of wisdom-related competence in the analysed sample; participants’ mean total score was M = 156.47 (SD = 61.50) of 364 possible points. Corresponding to previous findings of psychological wisdom research, only few participants reached high scores. The students scored higher in wisdom-relevant dimensions than in wisdom-specific dimensions and higher in knowledge than in attitude dimensions.Conclusions: Regarding these results and the fact that wisdom-related knowledge and attitudes facilitate wise decisions and wise action in complex medical contexts, the curriculum of medical education should more largely integrate wisdom-related goals and learning opportunities.
关键词：medical education; physician-patient-relationship; professional development; psychological wisdom research; wisdom-related competence