Model essay on doctor-patient relationship 1: basic medical papers under doctor-patient relationship
1. Challenges faced by basic medical education
At present, China's medical education is divided into two stages: basic medical education stage and clinical medical education stage. Basic course-clinical course-hospital practice? Educational model. The stage of basic medical education is the only way for every medical student to become a qualified doctor or medical worker. Therefore, as the cradle of doctors, basic medical education has an unshirkable historical mission in building a harmonious doctor-patient relationship, and the reform of basic medical education is bound to face unprecedented challenges. However, in the stage of basic medical education, students' medical knowledge is limited, and there is no direct contact among students, teachers and patients, so their role in the adjustment of doctor-patient relationship is easily overlooked. However, the students at this stage are in a stage that they are extremely eager to acquire medical knowledge, and at the same time suffer from the lack of opportunities to contact practical problems. At the same time, unlike medical students who enter the clinic, they will not involve conflicts of interest in patients' privacy, and have certain advantages in communicating with patients, which is more acceptable to patients. Therefore, they can build a bridge of medical knowledge and mutual trust between doctors and patients, so it will be a reasonable choice to seek possible ways to ease the tension between doctors and patients in the basic education stage.
1. 1 Bridges in architectural knowledge
A correct understanding of medical professional knowledge is the basis of effective communication between doctors and patients. Patients lack medical knowledge, don't know the doctor's diagnosis and don't understand the doctor's intention, which is easy to misunderstand. Suffering from illness, patients come to the hospital for help with their life savings and even medical expenses raised everywhere. Their expectations of medical care are often too high. Because I don't understand the medical risks, I blame the doctor. For example, in Xiangtan City, Hunan Province, maternal amniotic fluid embolism led to multiple organ failure and death. If the patient's family knew the risk of amniotic fluid embolism, there would be no conflict. On the other hand, at present, doctors have a huge number of consultations and heavy tasks, so it is difficult to have enough time to explain relevant medical knowledge to patients. Teachers and medical students in the stage of basic medical education shoulder the responsibility of spreading knowledge and serving the society. Through appropriate channels and channels, they systematically popularize correct medical knowledge and possible medical risks, build a knowledge bridge between patients and doctors, and provide a basis for effective communication between doctors and patients. At the same time, in the process of acting as a bridge of medical knowledge, medical students will inevitably experience a? Apply what you have learned, and use middle school? This process is helpful to solve the problem that medical students are seriously divorced from theory and practice, strengthen their knowledge reserve, constantly face practical problems to expand their knowledge structure, flexibly use their knowledge and promote the growth of medical students.
1.2 Building a bridge of trust between doctors and patients
The lack of mutual trust between patients and their families and doctors is an important reason for the distortion of doctor-patient relationship. At present, our country is in the period of social transformation, the medical investment is relatively insufficient, and the medical resources are unevenly distributed, which leads to some problems. Medical chaos? Like what happened? Receive red envelopes? 、? Big prescription? Patients don't trust doctors. Some patients only trust doctors with deep qualifications or doctors who are familiar with them, and they are always wary or even exclusive of other medical staff. In order to avoid the responsibility in medical disputes, some doctors will take some self-protection measures accordingly, such as giving up high-risk surgery, relying too much on medical equipment, issuing unnecessary examinations, overtreatment and so on. In the long run, it will inevitably lead to a vicious circle of doctor-patient relationship. Medical students in the stage of basic medical education can not only spread knowledge, but also keep in touch with patients for a long time, establish contact and care about their psychological feelings. On the one hand, medical students learn doctor-patient communication skills in practice, and at the same time avoid treating patients as carriers of diseases. What's wrong with you? , see? People? To lay an emotional foundation for medical students to establish a doctor-patient relationship of mutual trust, mutual communication and mutual accommodation after entering the post of doctor.
2. Specific countermeasures and methods
2. 1 Establish and improve the curriculum system of cognitive education on doctor-patient relationship, and strengthen humanistic education in the basic medical education stage.
The cultivation of medical students' cognitive level and communication ability of doctor-patient relationship is one of the necessary conditions for medical students to grow into qualified medical workers, which determines the professional attitude and behavior of doctors in the future and will certainly lay a good foundation for resolving the contradiction between doctors and patients and building a harmonious doctor-patient relationship. At present, in the process of medical education in China, the relevant curriculum system to guide medical students to establish a scientific concept of doctor-patient communication is still not perfect. It is not advisable to attach importance to clinical teaching, put the establishment and cultivation of doctor-patient relationship in the stage of clinical practice, and ignore the cultivation of humanistic quality in the stage of basic medical education. Under the current new form of doctor-patient relationship, medical colleges must attach importance to the cultivation of students' professional basic knowledge and skills, increase the proportion of non-biological knowledge courses such as sociology, ethics and humanities, and add courses such as communication skills, medical accidents and medical disputes on the basis of the original courses such as medical ethics, medical psychology, medicine and policy. It is necessary to effectively avoid becoming a mere formality in the teaching process of humanities, separating theory from reality, stiffly inculcating concepts, theories and principles, and at the same time being divorced from other disciplines? Barriers incorporate basic medical courses and clinical courses into the curriculum system of cognitive education on doctor-patient relationship, especially the education content of humanities courses in basic medical courses such as physiology, pathophysiology and pharmacology as soon as possible, so that students can subtly accept the humanity of medical disciplines and enhance the ability of doctor-patient communication, prevention and handling of medical disputes.
2.2 Reform the existing teaching mode of basic medical courses and innovate teaching methods.
In the process of basic medical education, the traditional LBL teaching mode (lecture-style learning) which is only described in class can no longer meet the higher requirements of the current doctor-patient relationship for the cultivation of medical students. Medical students should not only improve their ideological and moral qualities and professional skills, but also have good communication skills and lifelong learning ability. Therefore, the existing teaching mode should be reformed. Comprehensive use of teaching methods such as LBL, PBL (Problem-based Learning), CBL (Case-based Learning) and RBL (Resource-based Learning), actively introduce the teaching mode of massiveopenonlinecourses, pay attention to multidisciplinary integration, and innovate teaching methods. For example, the application of standardized patient (SP), SimMan synthetic simulator, and the simulated ward and hospital built on this basis. It can strengthen students' dominant position in the whole learning process, organically combine basic knowledge with clinical knowledge, realize seamless connection of knowledge through various means, create a teaching environment for students to study independently, independently and creatively, and make full knowledge and skills reserves and psychological preparations for medical students to successfully complete the role transformation to doctors.
2.3 Establish the credit system of community volunteer service for medical students in the basic education stage, and create new mechanisms and new ways to cultivate healthy doctor-patient relationship.
In order to solve the problem that medical students are seriously divorced from theory and practice, the early clinical practice of medical education has been paid more and more attention, but from the perspective of doctor-patient relationship, it will inevitably involve patients' rights to life and health, privacy and unlicensed medical practice. Therefore, in the basic education stage, we can establish a credit system for medical students' community voluntary service, arrange students to enter the community in their spare time or holidays, and carry out popular science activities of medical knowledge, so that medical students can build up their self-confidence in the process of answering people's health problems with their own medical knowledge. On the one hand, it can improve their communication skills, enable them to gradually master the strategy of dealing with the doctor-patient relationship, and gradually establish emotional ties of mutual trust and respect with the masses, thus enhancing medical students' respect, awe and care for patients' lives. On the other hand, medical students observe independently in social practice, constantly discover medical problems and improve their autonomous learning ability.
Doctor-patient relationship Fan Wener: Basic medical education paper on doctor-patient relationship
1. Causes of distorted doctor-patient relationship
Under the general trend of medical marketization, the doctor-patient relationship should have been a win-win relationship. On the one hand, doctors relieve or alleviate patients' pain, so as to get certain labor remuneration; on the other hand, patients turn to doctors for help and pay related expenses. At present, the reasons for the serious distortion of the doctor-patient relationship are complex, involving contradictions and problems among patients, doctors, hospitals, governments and even the media. However, the survey shows that the top three causes of doctor-patient disputes are still poor professional skills, poor service attitude and communication barriers between doctors and patients. Medical work is a? Life depends on it, life depends on it? The special occupation and professional nature require employees to have solid professional basic knowledge and skills first. At present, the public demands higher health level, and the requirements for medical staff's professional and technical level also increase accordingly, which also suggests that medical education should play a more active role in regulating the relationship between doctors and patients. Except for a few medical workers who do have medical ethics problems, the professionalism of medical problems leads to patients' lack of understanding and high expectations for medical staff. In addition, the relative shortage of doctors, heavy tasks, time and energy also restrict the effective communication between doctors and patients. In order to get out of the doctor-patient dilemma, we must strengthen effective communication between doctors and patients.
2. Challenges faced by basic medical education
At present, China's medical education is divided into two stages: basic medical education stage and clinical medical education stage. Basic course-clinical course-hospital practice? Educational model. The stage of basic medical education is the only way for every medical student to become a qualified doctor or medical worker. Therefore, as the cradle of doctors, basic medical education has an unshirkable historical mission in building a harmonious doctor-patient relationship, and the reform of basic medical education is bound to face unprecedented challenges. However, in the stage of basic medical education, students' medical knowledge is limited, and there is no direct contact among students, teachers and patients, so their role in the adjustment of doctor-patient relationship is easily overlooked. However, the students at this stage are in a stage that they are extremely eager to acquire medical knowledge, and at the same time suffer from the lack of opportunities to contact practical problems. At the same time, unlike medical students who enter the clinic, they will not involve conflicts of interest in patients' privacy, and have certain advantages in communicating with patients, which is more acceptable to patients. Therefore, they can build a bridge of medical knowledge and mutual trust between doctors and patients, so it will be a reasonable choice to seek possible ways to ease the tension between doctors and patients in the basic education stage.
2. 1 Bridge of Knowledge
A correct understanding of medical professional knowledge is the basis of effective communication between doctors and patients. Patients lack medical knowledge, don't know the doctor's diagnosis and don't understand the doctor's intention, which is easy to misunderstand. Suffering from illness, patients come to the hospital for help with their life savings and even medical expenses raised everywhere. Their expectations of medical care are often too high. Because I don't understand the medical risks, I blame the doctor. For example, in Xiangtan City, Hunan Province, maternal amniotic fluid embolism led to multiple organ failure and death. If the patient's family knew the risk of amniotic fluid embolism, there would be no conflict. On the other hand, at present, doctors have a huge number of consultations and heavy tasks, so it is difficult to have enough time to explain relevant medical knowledge to patients. Teachers and medical students in the stage of basic medical education shoulder the responsibility of spreading knowledge and serving the society. Through appropriate channels and channels, they systematically popularize correct medical knowledge and possible medical risks, build a knowledge bridge between patients and doctors, and provide a basis for effective communication between doctors and patients. At the same time, in the process of acting as a bridge of medical knowledge, medical students will inevitably experience a? Apply what you have learned, and use middle school? This process is helpful to solve the problem that medical students are seriously divorced from theory and practice, strengthen their knowledge reserve, constantly face practical problems to expand their knowledge structure, flexibly use their knowledge and promote the growth of medical students.
2.2 Building a bridge of trust between doctors and patients
The lack of mutual trust between patients and their families and doctors is an important reason for the distortion of doctor-patient relationship. At present, our country is in the period of social transformation, the medical investment is relatively insufficient, and the medical resources are unevenly distributed, which leads to some problems. Medical chaos? Like what happened? Receive red envelopes? 、? Big prescription? Patients don't trust doctors. Some patients only trust doctors with deep qualifications or doctors who are familiar with them, and they are always wary or even exclusive of other medical staff. In order to avoid the responsibility in medical disputes, some doctors will take some self-protection measures accordingly, such as giving up high-risk surgery, relying too much on medical equipment, issuing unnecessary examinations, overtreatment and so on. In the long run, it will inevitably lead to a vicious circle of doctor-patient relationship. Medical students in the stage of basic medical education can not only spread knowledge, but also keep in touch with patients for a long time, establish contact and care about their psychological feelings. On the one hand, medical students learn doctor-patient communication skills in practice, and at the same time avoid treating patients as carriers of diseases. What's wrong with you? , see? People? To lay an emotional foundation for medical students to establish a doctor-patient relationship of mutual trust, mutual communication and mutual accommodation after entering the post of doctor.
3. Specific countermeasures and methods
3. 1 Establish and improve the curriculum system of cognitive education on doctor-patient relationship, and strengthen humanistic education in the basic medical education stage.
The cultivation of medical students' cognitive level and communication ability of doctor-patient relationship is one of the necessary conditions for medical students to grow into qualified medical workers, which determines the professional attitude and behavior of doctors in the future and will certainly lay a good foundation for resolving the contradiction between doctors and patients and building a harmonious doctor-patient relationship. At present, in the process of medical education in China, the relevant curriculum system to guide medical students to establish a scientific concept of doctor-patient communication is still not perfect. It is not advisable to attach importance to clinical teaching, put the establishment and cultivation of doctor-patient relationship in the stage of clinical practice, and ignore the cultivation of humanistic quality in the stage of basic medical education. Under the current new form of doctor-patient relationship, medical colleges must attach importance to the cultivation of students' professional basic knowledge and skills, increase the proportion of non-biological knowledge courses such as sociology, ethics and humanities, and add courses such as communication skills, medical accidents and medical disputes on the basis of the original courses such as medical ethics, medical psychology, medicine and policy. It is necessary to effectively avoid becoming a mere formality in the teaching process of humanities, separating theory from reality, stiffly inculcating concepts, theories and principles, and at the same time being divorced from other disciplines? Barriers incorporate basic medical courses and clinical courses into the curriculum system of cognitive education on doctor-patient relationship, especially the education content of humanities courses in basic medical courses such as physiology, pathophysiology and pharmacology as soon as possible, so that students can subtly accept the humanity of medical disciplines and enhance the ability of doctor-patient communication, prevention and handling of medical disputes.
3.2 Reform the existing teaching mode of basic medical courses and innovate teaching methods.
In the process of basic medical education, the traditional LBL teaching mode (lecture-style learning) which is only described in class can no longer meet the higher requirements of the current doctor-patient relationship for the cultivation of medical students. Medical students should not only improve their ideological and moral qualities and professional skills, but also have good communication skills and lifelong learning ability. Therefore, the existing teaching mode should be reformed. Comprehensive use of teaching methods such as LBL, PBL (Problem-based Learning), CBL (Case-based Learning) and RBL (Resource-based Learning), actively introduce the teaching mode of massiveopenonlinecourses, pay attention to multidisciplinary integration, and innovate teaching methods. For example, the application of standardized patient (SP), SimMan synthetic simulator, and the simulated ward and hospital built on this basis. It can strengthen students' dominant position in the whole learning process, organically combine basic knowledge with clinical knowledge, realize seamless connection of knowledge through various means, create a teaching environment for students to study independently, independently and creatively, and make full knowledge and skills reserves and psychological preparations for medical students to successfully complete the role transformation to doctors.
3.3 Establish a credit system for community volunteer service for medical students in the basic education stage.
Creating new mechanisms and new ways to cultivate healthy doctor-patient relationship In order to solve the problem that medical students are seriously divorced from theory and practice, the early clinical practice of medical education has been paid more and more attention, but from the perspective of doctor-patient relationship, it will inevitably involve patients' rights to life and health, privacy and unlicensed medical practice. Therefore, in the basic education stage, we can establish a credit system for medical students' community voluntary service, arrange students to enter the community in their spare time or holidays, and carry out popular science activities of medical knowledge, so that medical students can build up their self-confidence in the process of answering people's health problems with their own medical knowledge. On the one hand, it can improve their communication skills, enable them to gradually master the strategy of dealing with the doctor-patient relationship, and gradually establish emotional ties of mutual trust and respect with the masses, thus enhancing medical students' respect, awe and care for patients' lives. On the other hand, medical students observe independently in social practice, constantly discover medical problems and improve their autonomous learning ability.
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