Cultivation of medical humanities competence driven by Production-Oriented Approach: Taking the teaching of Defoe’s A Journal of the Plague Year as an example
产出导向法驱动下的医学人文素养培养——以笛福《瘟疫年纪事》教学为例

摘要

新文科建设对高等外语教育提出了学科交叉融合的时代要求。在医科院校的英美文学课程中培育医学人文素养，是落实新文科理念、提升英语专业人才培养质量的重要路径。本文以产出导向法（POA）为理论框架，以英国作家丹尼尔·笛福《瘟疫年纪事》的瘟疫书写为教学文本，从“驱动—促成—评价”三个环节系统探讨英美文学课程培育医学人文素养的教学设计。《瘟疫年纪事》以第一人称亲历者视角再现1665年伦敦大瘟疫，在疾病症状描摹、隔离措施呈现、恐惧心理书写及统计数据分析等方面具有独特的医学人文价值。教学实践表明，POA框架下的融合式教学能够有效激发学生的学习主动性，深化其对瘟疫叙事与医学人文主题的理解。本文认为，以疾病叙事文学为教学载体、以公共卫生伦理议题为切入点，是实现文学素养与医学人文素养协同培养的有效路径。

Abstract

The New Liberal Arts require interdisciplinary integration in higher foreign language education. For medical universities, English and American literature courses offer a practical way to cultivate medical humanities competence, thereby implementing the New Liberal Arts concept and raising the quality of English-major training. Using the Production-Oriented Approach (POA) as its framework and the plague writing in Daniel Defoe’s A Journal of the Plague Year as the teaching text, this paper designs a course that fosters medical humanities competence around three POA stages, namely motivating, enabling and assessing. Defoe’s work presents the Great Plague of London in 1665 through a first-person witness, and its depiction of disease symptoms, quarantine measures, psychological fear, and statistical data carries distinctive medical humanities value. Teaching practice indicates that POA-based integrated teaching effectively stimulates students’ initiative and deepens their engagement with plague narratives and medical humanities themes. The paper concludes that disease narrative literature, taken together with public health ethics issues as a point of entry, provides an effective pathway for the joint cultivation of literary competence and medical humanities competence.