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文章阅读:Re: YJZ: 医网情深:5-22-2017病理实习笔记
[同主题阅读] [版面: 医学职业] [作者:USMedEdu] , 2018年04月10日15:06:48
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发信人: USMedEdu (US_CMGs), 信区: MedicalCareer
标  题: Re: YJZ: 医网情深:5-22-2017病理实习笔记
发信站: BBS 未名空间站 (Tue Apr 10 15:06:48 2018, 美东)

医网情深:医学知识和人文艺术与临床——纽约实习心得(之二)

YZR

       今年三月,我有幸在何老师的指导下参加内科与病理的实习。实习场所是位于
长岛和法拉盛的私人诊所和位于法拉盛的病理实验室。

       两所私人诊所的工作状态都是非常有效率,有活力和友好。每天接诊的病人量
很多,医生护士之间能够密切配合,医护人员都会和病人有很多友好的沟通。在实习过
程中,我也感受到各位美国医生的代教热情。在长岛的诊所里,胃肠科医生Dr. L指导
我学习数种疾病的最新的诊疗方案,并汇报给他,他则讨论起在实际的临床工作中如何
运用指南。在病理实验室,通过实验室管理和工作人员的展示,我了解到从收到样本到
制作好的切片的全过程。

       何老师手把手的教我切制冰冻切片,指导我看片子。结合镜下改变,对比书上
的图片,对我理解病理改变有了很大帮助。每次去长岛诊所的路上,何老师一边开车一
边不辞辛苦的与我畅聊许多CMG的申请经历,适合我的发展方向。在这些有泪有笑的故
事中我仿佛看到CMG们是如何克服困难,在异国的土地上扎下根来,救治病人,获得同
事和带教老师的肯定,一步一步走出来。对于我这样还在起步阶段的学生来说,既深受
鼓舞,又感到未来担子很重,只有快快成长起来才能挑好这个担子。

       另外给我印象深刻的是从诊所的艺术装饰中所体现出来的人文精神。长岛诊所
的两名医生都是星球大战,蝙蝠侠和超人的粉丝。在诊所的走道中挂满了星战与美国队
长的海报,医生的办公室里则摆放着星战,蝙蝠侠和超人的模型。这些装饰既不仅让病
人感到轻松愉快,而且因为这些电影和漫画的形象代表了勇敢与力量,代表了扶助弱小
,所以会在心理上带给病人战胜疾病的力量。

法拉盛的诊所则是用另一种风格给病人营造了轻松的就诊环境。入口处和走廊里都悬挂
了《圣经》的话语,充满了安慰帮助的力量。整个诊所装饰以明亮的奶黄色和充满生机
的绿色,布局宽敞,悬挂的画作鲜艳斑斓。整个环境带给人勇气,信念与力量。

       在我看来,轻松明快的环境有利于病人在比较舒心放松的情况下就诊,大大缓
解紧张情绪,而有力量的话语和图片则会增添病人战胜战胜疾病的信心。这也是私人诊
所的软实力之一,体现了医疗的人文关怀。

如何在医院和诊所的设计中体现人文关怀?可以咨询专业的艺术设计师。我在此摘录并
翻译了一些设计意见:


艺术可以使医疗服务在多方面获益

   公共艺术品在医疗设施中有许多功能。有策略的放置艺术品有助于舒缓患者和访客
的情绪。它也协助来访者寻找路线。艺术作品有助于区分医院中公共和非公共的区域。
用于展示艺术品的公共区域包括入口,候诊室,走廊,病房和食堂。通常情况下,从事
医疗保健项目的艺术顾问是设计团队的一员。项目经理,建筑师,室内设计师,设施经
理和管理人员等决策者组成的委员会会最终进行艺术品选择。

重点是自然与美

      在医院里,设计团队不仅要创造有利于病人痊愈的令人振奋的环境,也需要考虑
环保。所选作品一般围绕一个主题,最常见的主题是自然和美景。从海报到高端雕塑,
以自然为主题的艺术品在新的和改造的医疗设施中都很常见。虽然诊所和医生办公室需
要不少的艺术品,但医院则需要更大规模的艺术项目。

      新建医院的艺术设计中需要高端的建筑设计,并增加空间感。凭借对中庭,瀑布
,蚀刻和染色玻璃墙以及具有自然采光的大型开放空间的需求,新医院对高档艺术品的
需求量很大。

      艺术品是为患者带来和谐和令人振奋的环境的等式的一部分,对工作人员同样重
要。

媒介,颜色,主题和趋势

      医疗行政人员及其委员会可以购买各种艺术作品,包括照片,媒体作品,油画,
陶瓷和金属墙壁作品以及各种雕塑。艺术复制品,比如海报就常用于病房。

      配色的灵感来自大自然,从浅绿到深绿色,米色,棕色,黄色,琥珀色和蓝色。
在对血液敏感的情况下,通常应避免使用红色或仅将其用作轻微的着重色。

      医疗保健的趋势是绿色和可持续设计。建筑师和设计师必须将外部和内部因素(
如能源效率,用水和室内空气质量)整合到设计中。

      为特定类型的设施设计的作品因所服务的人群而异。高级住宅通常具有比典型医
疗场所更传统的艺术品。虽然新医院可能会使用含有现代自然主题的抽象作品,但老年
人生活社区倾向于使用花园和植物的景观,通常不会选择抽象作品。艺术品选择也有地
域特征,如加利福尼亚州和佛罗里达州的热带和海滩就会和中西部地区充满树叶和牧场
的场景形成对比。

The healing power of art and artists

Art in healthcare in an integral part of the design plan
By Barbara Markoff (https://www.healing-power-of-art.org/art-in-healthcare-
is-an-integral-part-of-the-design-plan/)

Art in Healthcare Offers Many Benefits Public artwork serves many functions
in healthcare facilities. Strategically placed artwork helps soothe and
welcome patients and visitors. It also assists with way finding. Artwork
helps clarify the boundaries of public and non-public areas of hospitals.
Common areas displaying artwork are entrances, waiting rooms, corridors,
patient rooms, and cafeterias. Usually, art consultants working on
healthcare projects are part of a design team, and a committee of decision
makers such as the project manager, architect, interior designer, facilities
manager, and administrators makes art selections.

A Major Focus is on Nature and Its Beauty
In hospitals, the goals of the design team are to incorporate the benefits
of environmental sustainability while designing an uplifting environment
conducive to healing. The artwork selected is theme based, with the most
common theme being nature and its beauty. From poster art to high-end
sculptures, nature-themed artwork is specified and purchased in new and
remodeled healthcare facilities. While neighborhood clinics and doctors’
offices may require a substantial amount of artwork, hospitals require art
programs much larger in scale.

The artwork specified in new hospitals complements cutting-edge
architectural design and adds to the ambiance of the space. With such
features as atriums, waterfalls, etched and stained glass walls, and large
open spaces with natural lighting, the demand for upscale artwork is high.

Artwork is part of the equation to introduce a harmonious and uplifting
environment for patients. It is equally important to the staff working at
the facility.
Mediums, Colors, Subjects and Trends
Healthcare administrators and their committees are open to purchasing a
variety of types of artwork from photographs, one-of-a-kind mixed media
pieces, paintings on canvas, ceramic and metal wall pieces, to all kind of
sculptures. Reproductions such as posters are often used in patient rooms.

Color palettes are inspired by nature ranging from soft to deeper greens, as
well as beige, brown, yellow, amber, and blue. With sensitivity to blood,
the color red is generally avoided or used only slightly as an accent color.

The trend in healthcare is green and sustainable design. In this era of
environmental concern, it is compulsory that architects and designers adapt
to integrating new systems that affect external and internal factors such as
energy efficiency, water use, and indoor air quality.

The type of artwork specified for a particular kind of facility varies
depending on the population being served. Senior residences usually have
artwork that is more traditional than artwork installed in a typical medical
office. While newer hospitals may use some abstract work mixed with
contemporary nature motifs, senior assisted living communities tend to
specify landscapes with gardens and florals, and generally do not opt for
abstract images. Regions of the country also have defined looks, such as
tropical and beach in California and Florida versus scenes of full foliage
and pastures in the Midwest.



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