Literature DB >> 35960444

'Things we are expected to just do and deal with': Using the medical humanities to encourage reflection on vulnerability and nurture clinical skills, collegiality, compassion, and self-care.

Michaela Kelly1, Johanna Lynch2, Penny Mainstone2, Alison Green2, Nancy Sturman2.   

Abstract

The Vulnerability in Medicine (ViM) program was developed to provide protected time and psychologically safe spaces for third-year medical students to consider challenges in the doctor-patient relationship and the clinical workplace. A suite of discussion-prompts presented in a small-group learning environment provides a springboard for students to reflect on their development as clinicians, understand the personhood of their patients, explore the therapeutic relationship, and consider emotional responses and personal, cultural, and social assumptions that impact on care. The program supports students to recognise vulnerability in themselves, the patient, their tutors, and the wider clinical team, as they face the challenge of aligning the clinician they want to become with ideals of professionalism and the imperfect clinical workplace. This 6‑week program focuses on the vulnerability of patients, students, and doctors in a weekly tutorial interposed with clinical placements primarily in geriatric, rehabilitation, or palliative medicine. The tutorials draw from the medical humanities and use experiential, reflective, and narrative learning techniques. They are facilitated by generalist clinicians who model their own vulnerability, humanity, and reflective practice by sharing tutorial tasks equally with students. Students report feeling supported, and appreciate the opportunity to discuss ethical, psychosocial, and emotional aspects of medicine whilst reflecting on what medical practice means to them. Tutors experience a deeper appreciation of student journeys and their own vocations as clinicians and teachers. The sharing of vulnerability exposes the humanity of patients, students, and clinicians, and sustains our whole-person approach to the care of patients, students, and ourselves.
© 2022. The Author(s).

Entities:  

Keywords:  Creative enquiry; Doctor-patient relationship; Medical student and doctor’s health; Reflective practice

Mesh:

Year:  2022        PMID: 35960444      PMCID: PMC9582175          DOI: 10.1007/s40037-022-00724-w

Source DB:  PubMed          Journal:  Perspect Med Educ        ISSN: 2212-2761


  15 in total

1.  Balint groups as 'shared care' in the area of mental health in primary medicine.

Authors:  Stanley Rabin; Benyamin Maoz; Yuval Shorer; Andre Matalon
Journal:  Ment Health Fam Med       Date:  2009-09

2.  The Healer's art: education in meaning and service.

Authors:  Rachel N Remen; Joseph F O'Donnell; Michael W Rabow
Journal:  J Cancer Educ       Date:  2008 Jan-Mar       Impact factor: 2.037

3.  The use of reflection in medical education: AMEE Guide No. 44.

Authors:  John Sandars
Journal:  Med Teach       Date:  2009-08       Impact factor: 3.650

4.  Narrative medicine as a medical education tool: A medical student perspective.

Authors:  Charlotte Greene; Alice Pearson; Onome Uwhubetine; William Rowley; Bethany Chung
Journal:  Med Teach       Date:  2019-06-14       Impact factor: 3.650

5.  Transformative learning as pedagogy for the health professions: a scoping review.

Authors:  Susan C Van Schalkwyk; Janet Hafler; Timothy F Brewer; Moira A Maley; Carmi Margolis; Lakshini McNamee; Ilse Meyer; Michael J Peluso; Ana Ms Schmutz; Judy M Spak; David Davies
Journal:  Med Educ       Date:  2019-02-14       Impact factor: 6.251

6.  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

7.  'I found myself a despicable being!': Medical students face disturbing moral dilemmas.

Authors:  Diego Lima Ribeiro; Marcos Costa; Esther Helmich; Debbie Jaarsma; Marco Antonio de Carvalho-Filho
Journal:  Med Educ       Date:  2021-01-21       Impact factor: 6.251

8.  Is Balint training associated with the reduced burnout among primary health care doctors?

Authors:  Mirjana Stojanovic-Tasic; Milan Latas; Nenad Milosevic; Jelena Aritonovic Pribakovic; Dragana Ljusic; Rosa Sapic; Mara Vucurevic; Goran Trajkovic; Anita Grgurevic
Journal:  Libyan J Med       Date:  2018-12       Impact factor: 1.743

9.  The health and well-being of Australia's future medical doctors: protocol for a 5-year observational cohort study of medical trainees.

Authors:  Erin Cvejic; Gordon Parker; Samuel B Harvey; Zachery Steel; Dusan Hadzi-Pavlovic; Claire L Macnamara; Uté Vollmer-Conna
Journal:  BMJ Open       Date:  2017-09-11       Impact factor: 2.692

10.  The influence of narrative medicine on medical students' readiness for holistic care practice: a realist synthesis protocol.

Authors:  Yufrica Huang; Lynn V Monrouxe; Chien-Da Huang
Journal:  BMJ Open       Date:  2019-08-02       Impact factor: 2.692

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