Human Behavior and Experience in Health and Illness

人类在健康和疾病方面的行为和经验

基本信息

批准号：
7010436
负责人：
RITA CHARON
金额：
$ 26.86万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-03-15 至 2010-11-30
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): Acute, chronic, and terminal illnesses all have powerful social, cultural, behavioral, economic, and relational dimensions. Persons do not get sick or well alone, and doctors do not practice medicine in a void. The College of Physicians and Surgeons (P&S) of Columbia University is determined to improve its teaching of evidence-based knowledge and methods from the social and behavioral sciences that illuminate the human experiences of health and illness and equip future doctors to influence health-related behaviors of patients and colleagues. It must become evident to all P&S graduates that a physician cannot practice effective medicine without a nuanced and muscular understanding of health beliefs, cultures of illness, mind-body connections, social structures of health care, clinical relationships, and self-awareness. This project adopts three strategies to reach these goals: 1) intensive faculty development to improve clinician-educators' ability to convey content material and practical skills in social and behavioral medicine to students; 2) inclusion of social scientists and behavioral scientists among those who teach these aspects of health care to students and faculty; 3) enhanced visibility of social and behavioral scientists at the medical center as researchers, teachers, and mentors/role-models for medical students contemplating careers in these fields. The existing Clinical Practice course at P&S will, with support, be bolstered with human and financial resources to integrate currently fragmented curricular material, to extend required curriculum into third and fourth years of medical school, and to draw upon the extensive social and behavioral science resources of Columbia University currently not used at all in medical student teaching. The envisioned teaching will improve medical students' ability to bring about behavioral change in their patients, their capacity to form authentic and ethical relationships with patients and colleagues, their competence to practice medicine reflectively, and their commitment to their own health. This project will galvanize the medical center to recognize and face the complex weave of human motivations, desires, and habits that constitute health and illness behavior. By encouraging healthy behaviors in their patients and reflective practice among themselves, P&S physicians will improve the health of the public and the vitality of the profession.

描述（由申请人提供）：急性，慢性和绝症都具有强大的社会，文化，行为，经济和关系维度。人不会生病或单独生病，医生不会在空白中练习药物。哥伦比亚大学的医师和外科医生学院（P＆S）决心改善其对循证知识和方法的教学，从社会和行为科学中阐明了人类的健康和疾病经历，并为未来的医生提供了影响患者和同事与健康相关的行为。对于所有P＆S毕业生来说，必须显而易见，如果没有细微的和肌肉了解健康信念，疾病培养，思维与心身联系，卫生保健的社会结构，临床关系和自我意识的情况，医生将无法执行有效的医学。该项目采用了三种策略来实现这些目标：1）强化教师发展，以提高临床医生教育者的能力，能够向学生传达社会和行为医学中的内容材料和实践技能； 2）将社会科学家和行为科学家包括在向学生和教职员工讲授医疗保健的这些方面的人中； 3）在医学中心，社会和行为科学家的可见性提高了研究人员，教师和导师/角色模型，用于考虑在这些领域的职业。 P＆S现有的临床实践课程将得到支持，以人力和财务资源的支持，以整合当前的零散课程材料，将所需的课程扩展到医学院的第三年和第四年，并利用目前在医学学生教学中根本不使用的哥伦比亚大学的广泛社会和行为科学资源。所设想的教学将提高医学生带来患者行为改变行为的能力，与患者和同事建立真实和道德关系的能力，反思性地练习医学的能力以及他们对自己健康的承诺。该项目将使医疗中心充满活力，以认识并面对构成健康和疾病行为的人类动机，欲望和习惯的复杂编织。通过鼓励患者的健康行为并彼此反思性实践，P＆S医生将改善公众的健康和行业的活力。