BACKGROUND An unintended consequence of medical technologies is loss of personal interactions and humanism between patients and their healthcare providers, leading to depersonalisation of medicine. As humanism is not integrated as part of formal postgraduate anaesthesiology education curricula, our goal was to design, introduce, and evaluate a comprehensive humanism curriculum into anaesthesiology training. METHODS Subject-matter experts developed and delivered the humanism curriculum, which included interactive workshops, simulation sessions, formal feedback, and patient immersion experience. The effectiveness of the programme was evaluated using pre- and post-curriculum assessments in first-year postgraduate trainee doctors (residents). RESULTS The anaesthesiology residents reported high satisfaction scores. Pre-/post-Jefferson Scale of Patient Perceptions of Physician Empathy showed an increase in empathy ratings with a median improvement of 12 points (range; P=0.013). After training, patients rated the residents as more empathetic (31 [4] vs 22 [5]; P<0.001; 95% confidence interval [CI]: 7-12) and professional (47 [3] vs 35 [8]; P<0.001; 95% CI: 9-16). Patient overall satisfaction with their anaesthesia provider improved after training (51 [6] vs 37 [10]; P<0.001; 95% CI: 10-18). Patients rated their anxiety lower in the post-training period compared with pretraining (1.8 [2.3] vs 3.6 [1.6]; P=0.001; 95% CI: 0.8-2.9). Patient-reported pain scores decreased after training (2.3 [2.5] vs 3.8 [2.1]; P=0.010; 95% CI: 0.4-2.8). CONCLUSIONS Implementation of a humanism curriculum during postgraduate anaesthesiology training was well accepted, and can result in increased physician empathy and professionalism. This may improve patient pain, anxiety, and overall satisfaction with perioperative care.

中文翻译：

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麻醉学中的人文医学：为研究生麻醉学实习生开发和评估人文主义课程。

背景技术医疗技术的意想不到的后果是患者及其医疗保健提供者之间的人际互动和人文主义的丧失，从而导致医学的非人格化。由于人文主义并未被纳入正式的研究生麻醉学教育课程，因此我们的目标是设计，引入和评估综合的人文主义课程，并将其纳入麻醉学培训。方法主题专家开发并提供了人文主义课程，其中包括交互式研讨会，模拟会议，正式反馈和患者沉浸式体验。该计划的有效性是通过对一年级研究生实习医生（住院医师）进行课前和课后评估来评估的。结果麻醉科医师报告了较高的满意度。Jefferson之前/之后的医生对医生的同情心的量表显示，同情心的评分有所提高，中位数改善了12分（范围； P = 0.013）。训练后，患者对居民的评价为同理心（31 [4] vs 22 [5]； P <0.001； 95％置信区间[CI]：7-12）和专业人士（47 [3] vs 35 [8]；专业水平）。 P ＜0.001； 95％CI：9-16）。训练后，患者对其麻醉提供者的总体满意度有所提高（51 [6] vs 37 [10]； P <0.001； 95％CI：10-18）。与培训前相比，患者在培训后的焦虑程度较低（1.8 [2.3] vs 3.6 [1.6]； P = 0.001； 95％CI：0.8-2.9）。训练后患者报告的疼痛评分降低（2.3 [2.5]对3.8 [2.1]； P = 0.010； 95％CI：0.4-2.8）。结论在研究生麻醉学培训中实施人文主义课程已广为接受，并可能增加医师的同理心和专业水平。这可以改善患者的疼痛，焦虑和围手术期护理的总体满意度。