Moral education integrated into course instruction is a new approach to explore and innovate moral cultivation.The approach aims at instilling virtues and work ethics in all courses,by all teachers and through all channels.Narrative medicine is a tool for cultivating medical students’ “patient-caring and life-respecting spirit” and a way for practicing medical humanities.The integration of moral education into Narrative Medicine course will provide an effective way for cultivating medical students’ personal virtues,professional ethics and social conscience.This paper introduces the course design of such integrated narrative medicine courses,and indicates the necessity and consistency of such integration.

Introduction to narrative medicine introduces the framework and theory of narrative medicine.The course incorporates specific clinical cases to enlighten the learners,which helps moral cultivation take root in the medical curriculum.This paper showcases the course design and teaching arrangements of introduction to narrative medicine,with an emphasis on both the lecturing of theory and discussions of practical implications,highlighting the significance of medical ethics in clinical practice.

“Moral cultivation and talent nurturing”is an essential part of education.The medicine and literature course can play an important role in the moral education of medical students.As a foundational course of narrative medicine,medicine and literature not only helps improve students’ comprehensive quality and humanistic quality,but also offers two signature tools to cultivate their narrative competence.This paper explores the different ways to teach moral principles and beliefs in the modules of medicine and literature course.

从叙事医学框架下对一则临床病例的细读,分析了医患不同的叙事视角,发现了除疾病以外,患者的心理、经济、信仰、社会关系等因素对治疗方案选择的影响.因此,医生在关注作为客体和实体存在的疾病的同时,也须考虑患者由于病痛所产生的主观情绪以及由于疾病而导致的社会关系的改变.在医生寻求延长患者生命的治疗方法时,患者不得不同时考虑其生活的质量与成本.由于视角的差异,医患对同一事物的理解也大相径庭.文本细读法为医患沟通搭建桥梁,为弥合医患分歧提供可能.

介绍了北京大学医学部的文学与医学导论课程的教学探索.课程主要以文学作品为依托,通过文学作品中的涉医话题,如医学生的教育和成长、生死教育、医生形象、疾病叙事等,培养医学生的共情能力、伦理决策能力、临床想象力、语言和非语言沟通技巧、反思能力、疾病体验能力等.经过逐步调整和完善,形成了模块化教学、研讨班形式、反思性写作、全球竞争力提升和教学促科研等特色,并反思了遇到的挑战,展望了未来发展空间,以期为更多的文学与医学教学实践提供借鉴.

作为老百姓的"健康守门人",基层医生是实现"健康中国"战略目标的重要推动力量.根据国家卫健委发布的《2018年我国卫生健康事业发展统计公报》,截止到2018年末,全国医疗卫生机构总数达997,434个,其中基层医疗卫生机构高达943,639个;基层卫生人员数量396.5万,占全国卫生人员总数的32.2％.基层医生如何更好地胜任"健康守门人"的角色,为推进新医改政策和医疗资源的合理配置发挥作用?这是我国卫生健康事业发展中的关键议题.本文将从叙事医学的角度出发,为基层医生的成长与发展提供一些思考方向.

A survey was conducted to investigate the situation of English works reading activities among medical students and their attitude to the medical contents in English works.The result showed that medical students support the setting-up of literature and medicine course and it was believed that medicine in literature would be helpful to improve the quality of medical humanity education.

<威尼斯商人>被认为是莎士比亚所著的问题剧之一.其问题主要源于该剧的"问题角色"一一夏洛克.本文从剧本出发,主要分析夏洛克作为犹太放债人,犹太父亲,犹太复仇者等角色的模糊性,最后得出夏洛克其实和我们一样,是个活生生的人的结论.