Literature DB >> 25272952

"Where Does the Circle End?": Representation as a Critical Aspect of Reflection in Teaching Social and Behavioral Sciences in Medicine.

Michael J Devlin1, Boyd F Richards2, Hetty Cunningham2, Urmi Desai2, Owen Lewis2, Andrew Mutnick2, Mary Anne J Nidiry2, Prantik Saha2, Rita Charon2.   

Abstract

OBJECTIVE: This paper describes a reflective learning program within a larger curriculum on behavioral and social science that makes use of close reading, written representation of experience, discussion, and textual response. This response may in turn lead to further reflection, representation, and response in a circular pattern. A unique feature of this program is that it pays attention to the representation itself as the pivotal activity within reflective learning. Using the narrative methods that are the hallmark of this program, faculty writings were analyzed to characterize the essential benefits that derive from these practices.
METHODS: In the context of a faculty development seminar on the teaching of behavioral and social sciences in medical curricula, a group of 15 faculty members wrote brief narratives of reflective learning experiences in which they had made use of the methods described above. Their responses were submitted to iterative close reading and discussion, and potential themes were identified.
RESULTS: Four themes emerged: writing as attention to self, writing as attention to other, writing as reader/writer contract, and writing as discovery. In each instance, writing provides a new or deepened perspective, and in each case, the dividends for the writer are amplified by the narrative skills of those who read, listen, and respond.
CONCLUSIONS: The narrative pedagogy described and modeled herein provides a potentially promising approach to teaching the social, cultural, behavioral, and interpersonal aspects of medical education and practice. Future research will deepen our understanding of the benefits and limitations of this pedagogy and expand our appreciation of its applications.

Entities:  

Keywords:  Behavioral sciences; Medical students; Teaching methods

Mesh:

Year:  2014        PMID: 25272952      PMCID: PMC4383731          DOI: 10.1007/s40596-014-0222-8

Source DB:  PubMed          Journal:  Acad Psychiatry        ISSN: 1042-9670


  34 in total

1.  The habit of humanism: a framework for making humanistic care a reflexive clinical skill.

Authors:  S Z Miller; H J Schmidt
Journal:  Acad Med       Date:  1999-07       Impact factor: 6.893

2.  Fostering and evaluating reflective capacity in medical education: developing the REFLECT rubric for assessing reflective writing.

Authors:  Hedy S Wald; Jeffrey M Borkan; Julie Scott Taylor; David Anthony; Shmuel P Reis
Journal:  Acad Med       Date:  2012-01       Impact factor: 6.893

Review 3.  Reflection in/and writing: pedagogy and practice in medical education.

Authors:  Delese Wear; Joseph Zarconi; Rebecca Garden; Therese Jones
Journal:  Acad Med       Date:  2012-05       Impact factor: 6.893

4.  Clerkship-based reflective writing: a rubric for feedback.

Authors:  Michael J Devlin; Andrew Mutnick; Dorene Balmer; Boyd F Richards
Journal:  Med Educ       Date:  2010-11       Impact factor: 6.251

5.  Words and wards: a model of reflective writing and its uses in medical education.

Authors:  Johanna Shapiro; Deborah Kasman; Audrey Shafer
Journal:  J Med Humanit       Date:  2006

6.  The impact of prompted narrative writing during internship on reflective practice: a qualitative study.

Authors:  Rachel B Levine; David E Kern; Scott M Wright
Journal:  Adv Health Sci Educ Theory Pract       Date:  2007-09-21       Impact factor: 3.853

7.  Assessing reflective writing on a pediatric clerkship by using a modified Bloom's Taxonomy.

Authors:  Margaret M Plack; Maryanne Driscoll; Maria Marquez; Lynn Cuppernull; Joyce Maring; Larrie Greenberg
Journal:  Ambul Pediatr       Date:  2007 Jul-Aug

8.  A comparison of two methods of teaching reflective ability in Year 3 medical students.

Authors:  Louise Aronson; Brian Niehaus; Laura Hill-Sakurai; Cindy Lai; Patricia S O'Sullivan
Journal:  Med Educ       Date:  2012-08       Impact factor: 6.251

9.  Medical students' professionalism narratives: a window on the informal and hidden curriculum.

Authors:  Orit Karnieli-Miller; T Robert Vu; Matthew C Holtman; Stephen G Clyman; Thomas S Inui
Journal:  Acad Med       Date:  2010-01       Impact factor: 6.893

10.  Personal illness narratives: using reflective writing to teach empathy.

Authors:  Sayantani DasGupta; Rita Charon
Journal:  Acad Med       Date:  2004-04       Impact factor: 6.893

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  3 in total

1.  Implementing a Narrative Medicine Curriculum During the Internship Year: An Internal Medicine Residency Program Experience.

Authors:  Tiffany Wesley; Diana Hamer; George Karam
Journal:  Perm J       Date:  2018

2.  Close Reading and Creative Writing in Clinical Education: Teaching Attention, Representation, and Affiliation.

Authors:  Rita Charon; Nellie Hermann; Michael J Devlin
Journal:  Acad Med       Date:  2016-03       Impact factor: 6.893

3.  The impact of deliberate reflection with WISE-MD™ modules on surgical clerkship students' critical thinking: a prospective, randomized controlled pilot study.

Authors:  Janet Fraser Hale; Jill M Terrien; Mark Quirk; Kate Sullivan; Mitchell Cahan
Journal:  Adv Med Educ Pract       Date:  2018-10-09
  3 in total

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