以国际顶刊《柳叶刀》“将死亡带回生活”倡议为背景,针对我国死亡教育供给不足的突出问题,首先综述近3年 元宇宙医学教育技术赋能死亡教育中的脑死亡诊断、坏消息告知、预立医疗照护/预嘱沟通、临终与死后护理、终末期沟通5个 典型案例;其次在欧美及中国相应指南指导下,提出认知与价值、情感与心理、沟通与关系、文化与行为4版块死亡教育内容, 并按照本土院校、毕业后、继续医学教育的三阶段实施分层递进,同时阐述元宇宙医学教育技术(VR、AR、MR、AI增强虚拟患 者等)赋能路径,以供国内同行讨论合力推动死亡教育本土化、体系化、可持续的高质量发展。
Against the backdrop of The Lancet’s international initiative to "bring death back to life," and in response to the pressing issue of insufficient death education in China, this paper first reviews five representative cases over the past three years in which metaverse-based medical education technologies have empowered death education—namely, brain death diagnosis, breaking bad news, advance care planning and advance directives communication, end-of-life and postmortem care, and terminal communication. Guided by relevant European, American, and Chinese guidelines, the study further proposes four core modules of death education: cognition and values, emotions and psychology, communication and relationships, and culture and behavior. These are structured into a tiered and progressive three-phase framework spanning undergraduate, postgraduate, and continuing medical education. Finally, the paper elaborates on the empowerment pathways of metaverse medical education technologies — including VR, AR, MR, and AI-enhanced virtual patients—to promote the localization, systematization, and sustainable high-quality development of death education in China through collective academic effort.
Keywords: 死亡教育;元宇宙医学教育技术;分层递进;赋能路径;本土化 / death education; metaverse medical education technology; tiered progression; empowerment pathways; localization

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