摘要：Objective The objective was to explore the efficacy of a narrative reflective practice strategy, the parallel chart process, with residents in family medicine and internal medicine in order to develop professional skills in attending to the patient-physician encounter. Methods The research was designed to study the potential of writing, sharing and inquiring into parallel charts as a way to develop residents’ skills in attending to the patient-physician encounter. Three groups of participants from two medical disciplines participated: two groups of family medicine residents (FM1 and FM 2) (four per group) and one group of three internal medicine residents (IM1) at the University of [name withheld]. In the FM 1 and IM 1, each resident wrote 10 parallel charts over 10 weeks and in FM 2 each resident wrote five parallel charts over 10 weeks. Each group met bi-weekly with two researchers to narratively inquire into the stories told in their charts. Residents participated in unstructured exit interviews. Transcripts were thematically analyzed. Results Ten themes emerged: learning to notice/attend closely to their clinical experiences; learning to step into someone else’s story; impact on self of hearing other physicians’ stories; being affirmed that they were not alone; impact of inquiry dialogue on clinical practice; recognizing themselves as changing over time; recognizing their responsibilities as professionals; experiencing professional community; the recursive nature of their skill development and the importance of taking time to engage in a collaborative narrative reflective practice process over time with colleagues. Conclusions The narrative reflective process used in this intervention has potential to foster the development of clinical skills.
