Cultivating Narrative Competence in Pediatric Residents: Current Status, Challenges, and Path Reconstruction

Corresponding author: Yang Weixia, tjqhyll@163.com

DOI: 10.12201/bmr.202607.00048

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  Abstract: The article is grounded in the macro context of the transformation of the bio-psycho-social medical model and focuses on the systematic cultivation of a core professional competency of pediatric residents—narrative competence. It aims to deeply analyze the current weakness in pediatric residents’ narrative competence, its underlying causes, and to construct pathways for improvement. Through literature review and current situation surveys, it first reveals significant deficiencies in pediatric residents’ narrative cognition, practice, and empathy, and points out that these are associated with structural gaps in the existing training system. It then conducts an in-depth analysis of the barriers to narrative competence development from three dimensions: the medical education system, the clinical practice environment, and deep cultural cognition. Based on this, the article proposes a systematic solution encompassing concept reshaping, curriculum reconstruction, innovative teaching methods, comprehensive evaluation, and support measures. The core of the solution lies in integrating narrative competence training throughout the entire standardized residency training process. Specific pathways include implementing narrative practice centered on parallel medical records and reflective writing, conducting narrative medicine workshops based on real cases, establishing a diversified evaluation and feedback system, and focusing on the development of a narrative medicine mentor team and digital support platforms. Finally, the article proposes strategies to address potential challenges during implementation and envisions future directions such as integration with artificial intelligence technologies and interdisciplinary collaboration, aiming to provide theoretical support and practical models for the reform of humanistic education in pediatric medicine in China.

  Key words: Narrative Medicine; Narrative Competence; Pediatric Residents; Medical Education

  Submit time: 29 July 2026

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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