Telling tales out of school — Portrayals of the medical student experience by physician-novelists

Changes in medical and medical ethics education are being considered with little attention to the experience of the medical students involved. This study attempts to characterize and highlight certain aspects of that experience from a literary perspective. After a brief review of the history of traditional academic studies in the field, eight novels, written by physician-writers and featuring medical student protagonists, are analyzed. Several common themes of the student experience are identified in the novels, and are contrasted with themes found in the medical literature. A plea is made to acknowledge literary as well as scientific interpretations of the medical student experience when considering changes in medical education.     

Tragic figures: Thoughts on the visual arts and anatomy

The illustrated anatomical works of Andreas Vesalius, now icons of medical history, exemplified Renaissance humanists' attitudes toward the human condition. Methods of teaching medical students gross anatomy have evolved from the attitudes and methods of Renaissance scientist-scholars. The work of Vesalius is crucial to understanding the revolution in early modern medicine, for not only is it devoted to minute observation and exploration of the human body, but also to translating new knowledge by means of art. In the process of illustration, the cadavers become ennobled, leading the viewer to contemplation of the nature of our common humanity. It is the thesis of this paper that the merging of art and science achieved in the great anatomical studies of the 16th and 17th centuries may still be useful in the education of medical students by allowing a balance between scientific detachment and compassion.     

The Dynamics of Creative Teaching

The following is a qualitative portrait of a creative teacher and her teaching process. Over a period of six months, five interviews were conducted with the teacher before, during, and following a university course in teacher education on instructing diverse learners. Additional interviews were conducted with six students at the beginning and end of the course and with the teacher's husband following the course. Additional data sets include classroom observations revealed in field notes, personal memos, and course materials. The overarching themes represented constructs involving intense and thorough course preparation, teacher‐student connections, and reflective teaching. Sub‐themes guiding the process of creative teaching emerged including constraints placed on preparation and reflective teaching, an awareness of self and students within the process of preparation and connection, feedback from colleagues and students guiding the connection and reflective teaching, and the values and goals formed from personal history and philosophy of life shaping all three major themes. This case study of creative teaching possesses characteristics resembling creative acts in other domains (e.g., art, literature, physics, economics) and presents a model for the education of future teachers.     

Religious and spiritual education in disability situations in Italy

In this short article, the authors focus on religious and spiritual education’s potential to offer social and spiritual inclusion for students with a disability. They take the view that the religious and spiritual education teacher in such situations is positioned better when seeing such teaching as a special vocation. They use Italy as the case study by which to explore a religious and spiritual education approach to teaching in disability situations.     

Reflective Writing about Near-Peer Blogs: A Novel Method for Introducing the Medical Humanities in Premedical Education

Narrative analysis, creative writing, and interactive reflective writing have been identified as valuable for professional identity formation and resilience among medical and premedical students alike. This study proposes that medical student blogs are novel pedagogical tools for fostering peer-to-peer learning in academic medicine and are currently underutilized as a near-peer resource for premedical students to learn about the medical profession. To evaluate the pedagogical utility of medical student blogs for introducing core themes in the medical humanities, the authors conducted qualitative analysis of one hundred seventy-six reflective essays by baccalaureate premedical students written in response to medical student-authored narrative blog posts. Using an iterative thematic approach, the authors identified common patterns in the reflective essays, distilled major themes, coded the essays, and conducted narrative analysis through close reading. Qualitative analysis identified three core themes (empathic conflict, bias in healthcare, and the humanity of medicine) and one overarching theme (near-peer affinities). The premedical students’ essays demonstrated significant self-reflection in response to near-peer works, discussed their perceptions of medical professionalism, and expressed concerns about their future progress through the medical education system. The essays consistently attributed the impact of the medical student narratives to the authors’ status as near-peers. The authors conclude that reading and engaging in reflective writing about near-peer blog posts encourages premedical students to develop an understanding of core concepts in the medical humanities and promotes their reflection on the profession of medicine. Thus, incorporating online blogs written by medical trainees as narrative works in medical humanities classrooms is a novel pedagogical method for fostering peer-to-peer learning in academic medicine.

     

Could you hold the door for me? Including disability in diversity

This article is intended to help those unfamiliar with disability studies by providing a context for disability on which psychologists can build. The 1st part presents data on disability training in graduate clinical programs and on training accessibility for graduate students with disabilities. The 2nd part is an introduction to disability studies and includes 3 core concepts of disability issues in psychology: (a) the framing of disability from 3 models (the moral, medical, and social models); (b) the ways in which disability is like and unlike other minority groups; and (c) the language that is used to describe disability. These 2 parts taken together constitute a brief introduction to disability issues within psychology.     

Teaching Medical Law in Medical Education

Although the teaching of medical ethics and law in medical education is an old story that has been told many times in medical literature, recent studies show that medical students and physicians lack confidence when faced with ethical dilemmas and medico-legal issues. The adverse events rates and medical lawsuits are on the rise whereas many medical errors are mostly due to negligence or malpractices which are preventable. While it is true that many medical schools teach their students medical law and ethics, there are wide variations in what is being taught because there is no universally agreed syllabus. Yet the knowledge of medical law and ethics is closely relevant to the medical profession and that failure in abiding the law may result in serious civil or even criminal consequences. While this paper does not propose to lay detailed analysis of the relevant areas of law or ethics, it proposes to cover some legal areas so as to highlight and bring to attention the need for a medical law and ethics course. This article also considers the problems faced and recommendation as to future directions to be taken with respect to teaching medical law and ethics. It concludes with a suggested course outline for the teaching of medical law and ethics.     

What Disability Studies Has to Offer Medical Education

Disability studies can be of great value to medical education first, by placing the medical paradigm in the broad context of a sequence of ways of understanding and responding to disability that have emerged in the last two thousand years or so; second, by reminding medical professionals that people with disabilities have suffered as well as profited from medical treatment in the last two hundred years; finally, by providing access to a distinctive point of view from which the experience of disability looks very different than it may from the outside.     

Patients’ Perceptions on Their Involvement in Medical Education: A Qualitative Pilot Study

Patients’ perception with regards to their use in medical teaching is an under-researched area in Pakistan. The objective of this qualitative, pilot study was to determine the perspectives of hospital admitted patients on their being used in the medical education of students in a private medical institution. An attempt to understand the dynamics of interactions between patients, students and doctors was also made and to see how this affected the doctor-patient relationship. A qualitative study with in-depth interviews was conducted in a private medical college of Islamabad, Pakistan with a total of 20 adult patients. The focus was on their experiences with bedside teaching. This pilot study reveals interesting findings about patient-physician interactions in Pakistan. Patients had a traditionally passive role in medical education putting more onuses on the doctor to impart knowledge to the medical students. Patients comforted themselves in the knowledge that they were following Allah’s command when they were involved in the teaching of medical students. The apparent altruism of Pakistani patients in this study was influenced mainly by religious reasons, following the commandments of Allah to help develop future healers for humanity. The culture evident in the medical college where this study was conducted is reflective of the social power ladders that pervade Pakistani society. The positions of doctors and medical teachers in Pakistani society are hardly challenged to debate. Little attention has been paid to the values that influence the cultural and social frameworks within which Pakistani medical teachers, medical students and the patients function.     

Begin with a Text: Teaching the Poetics of Medicine

This paper suggests that the purpose of humanities teaching within medical education should be primarily to teach and promote the informed, attentive, critical, and precise reading of the multiple texts that constitute medicine as a discursive field—in short, a poetics of medicine. This claim is illustrated by reconsidering Margaret Edson’s play Wit, not as it is often used in medical education, as a cautionary tale about unprofessional behavior or as a way to inculcate “humanistic skills,” but as an analysis of the relationships between texts and feelings—or cognition and emotion, or science and art. This reading is illustrated by comparing the poetics of Wit with those of two other texts representing ovarian cancer: a scientific paper in Oncology and a clinical case conference in JAMA.     

What makes students feel authentic in an integrated RE classroom?

Abstract

The focus of this article is on 9th grade students’ (N = 9) perceptions on aspects that make them feel authentic in integrated religious education (RE) lessons among students of various faiths. All of the students had previously studied RE in segregated groups. The data was collected in a collaborative teaching experiment in Finland with student interviews. The students included young people between the ages of 15 and 16 from Lutheran RE, Orthodox RE and ethics instruction. The analysis identified five themes the students reported as having contributed to their sense of authenticity in RE: neutral pedagogical approach, approving social climate concerning diverse beliefs, space for different worldviews in instruction, group composition concerning beliefs and the position of the teacher regarding religion and his/her students.     

教学查房规范化的基本理解与思考

教学查房是以培养医学生为主要目的的临床教学活动,它与医疗查房有着重要区别。三级医师教学查房是我国医学教育的基本模式,目前存在诸多问题,如何使教学查房规范化是大家面临的共同困惑。在临床教学实践中,教学查房规范化是现代化医学教育的迫切要求。     

Physical educators' beliefs about teaching children with disabilities

The primary purpose was to extend Rizzo's research and identify the variables which contribute significantly to physical educators' positive beliefs about teaching children with disabilities. The second purpose was to structure physical educators' beliefs by conditions of disability. Participants were a stratified random sample of 168 physical educators, 79 men and 89 women from eastern USA. Responses to Rizzo's Physical Educators' Attitudes Toward Teaching Individuals with Disabilities-III indicated that teachers' beliefs were generally positive but varied by type of disability. Beliefs were more positive about teaching children with specific learning disabilities and less positive about teaching children with emotional and behavioral disorders. Significant predictors of positive beliefs were perceived competence, positive teaching experience with children with disabilities, and course work in adapted physical education. The study has important implications for programs of preparing students to teach.     

On Timothy Findley’s The Wars and Classrooms as Communities of Remembrance

In this paper I explore the connection between narrative ethics and the increasing emphasis on historical consciousness as a way to cultivate moral responsibility in history education. I use Timothy Findley’s World War I novel, The Wars, as an example of how teachers might help students to see history neither simply as a collection of artefacts from the past, nor as an effort to construct an objective view about what went on in those other times and places, but rather as something that makes ethical demands on us here and now. Theoretically, this paper draws on Adam Zachary Newton’s conception of narrative ethics and Roger Simon’s conception of historical consciousness, both of which rest on the Levinasian themes of irreducible difference, the face, and subjectivity as a position of ethical responsibility to and for the other.     

Equivalence-based instruction to teaching reading by families and teachers students with autism and/or intellectual disabilities

The study evaluated the learning of computerized equivalence-based reading instruction in students with intellectual disability and/or autism who attend regular school when exposed to a teaching practices package (teaching practices programmed) conducted by different educational agents (parents, regular classroom teachers, and special education teachers) in school settings and at home. The students were exposed to teaching packages that were applied by educational agents. The study has two hypotheses. First, the involvement of teachers and families in implementing interventions, in the presence of the researcher, may contribute to their learning to read in inclusive classrooms and at home. Secondly, the teaching of reading in Portuguese language may be favored by the direct teaching of syllables. A multiple baseline procedure was used to evaluate the teaching of three sets of words. Students improved from zero reading skills in the pretest to an average of 80% correct responses out of 21 taught words.     

Evaluating effectiveness of an infusion learning model on attitudes of physical education majors

The purpose was to evaluate the effect of an infusion curriculum model on attitudes of physical education majors toward teaching students with disabilities. 91 undergraduate students (61 men, 30 women) matriculating through the core curriculum of physical education teachers were exposed to the infusion curriculum as part of each course during one academic year. Attitudes were assessed pre- (Fall) and posttest (Spring) on the Physical Educator's Attitude Toward Teaching Individuals with Disabilities III. Analysis indicated a significant positive change in attitudes toward teaching students with disabilities. Findings suggest, when exposed to issues of disability by infusion into course content, these students self-reported they would have increased confidence in teaching and an appreciation when teaching students with disabilities. An independent validation of this change would be valuable.     

中国古代医德教育对现代医学生医德教育的启示

医德医风已成为全社会普遍关注的焦点,特殊职业要求医务工作者应具有高尚的医德,而高尚医德的培养应从医学生教育阶段开始,努力提高医学生的医德素养。我国传统的医德教育方法,如医学生人品的选拔,老师言传身教,徒弟满师传统等等对于培养现代医学生关爱病人、救死扶伤的医德风范仍具有积极的借鉴意义。     

Teaching Students as Shapers of the Traditions that Shape Them

An undergraduate liberal arts education can help students be not simply shaped by tradition but also shapers of tradition. Specifically, undergraduate theological education, aimed at ministry preparation in a liberal arts setting, can seek to graduate students who are responsible shapers of the traditions that shape them, that is, who are tradents. The work of a tradent involves active engagement that requires skills and capacities well beyond simply passing on the past formulations of a tradition. The pedagogical question, then, is how to engage in undergraduate theological education if this image of the tradent is what we have in mind for our students. Three aspects of this image can serve as pervasive or recurrent themes across the structure of a major or program. One aspect is the interpretive nature of the tradent's work, a second is facility with traditions, and a third is the creative, constructive work of thinking theologically. Whatever particular traditions characterize a department's context, the image of students as tradents can help focus pedagogical reflection on the department's work: teaching students as shapers of the traditions that shape them.     

A need-supportive teaching approach among students with intellectual disability in physical education

ObjectivesThe present study tested a need-supportive teaching approach to enhance the experience of need satisfaction, autonomous motivation, and well-being, and to decrease need frustration, controlled motivation, amotivation, and ill-being among students with intellectual disability in physical education activities. We further tested the effects of experimental condition in predicting students’ need satisfaction and need frustration, motivational regulations, and well-being and ill-being over the semester.DesignExperimental study.MethodsNinety eight students with mild and borderline intellectual disabilities (M_age = 16.53, SD = 3.22; female = 63.3%) attended in this experimental semester-long study. Teachers (N = 6) of students randomly assigned into either an experimental (need-supportive teaching style) or a control (usual teaching style) condition. Students filled out the targeted questionnaires at the beginning (T1), middle (T2), and the end of the semester (T3).FindingsThe results showed that students of the teachers in the experimental condition reported higher need satisfaction and positive affect, and lesser need frustration, amotivation, and negative affect than students of the teachers in the control condition. The results also showed that experimental condition predicted positively T3 need satisfaction, whereas and negatively predicted T3 need frustration, amotivation, and negative affect.ConclusionFindings highlight the importance of teachers’ need-supportive teaching behaviors to enhance positive outcomes, and decreasing their negative outcomes in students with intellectual disabilities in PE.