题名

Student Perspectives on Narrative Approaches in a Medical Humanities Course, 'Female Role-Models in Health Care Profession'

DOI

10.6145/jme.201212_16(4).0004

作者

Yenyu Lily Lin;Wing P. Chan;Nen-Chung Chang

关键词

medical humanities ; narrative approaches ; role-modeling ; professionalism

期刊名称

Journal of Medical Education

卷期/出版年月

16卷4期(2012 / 12 / 01)

页次

176 - 183

内容语文

英文

英文摘要

Background: The purposes of medical humanities courses are to foster students' personal and professional development. Conventional approaches present some challenges. For instance, the rapid pace of topic survey courses hinders students from deeply engaging with learning materials. The pre-clinical years offer limited opportunities for interacting with role-models to facilitate students' personal and professional identities. A course on ”Female Role-Models in Health Care Professions” used narrative approaches to foster students' self understanding and professional affiliation. This paper: (1) introduces these innovative teaching methods; (2) reports on students' learning experiences; and (3) discusses the implications of these teaching experiences. Materials and Methods: The life narratives of female role-models were used as scenarios to foster students' reflection on careers and professionalism. Thiry-three students took the course in fall 2009. Students' learning experiences were assessed through students' questionnaires and qualitative analysis of students' reflection notes. Results: Based on twenty-nine students' course evaluation feedback (88% response rate), 93% of respondents cited altruism as professional competences they felt the course had enhanced, and 76% interpersonal relationships. Asked which teaching methods were effective, 88% respondents said visiting the life paths of female role-models, and 60% cited reflection notes as an effective assignment. The course plan was granted by the Ministry of Education's Excellent Humanities Course Award Committee in fall 2009. Conclusions: This curriculum offered narrative approaches to facilitate students' self-understanding and professional development. Student evaluations affirmed narrative approaches enhanced students' altruism and self-reflection in real-world contexts and provided a worthy model for medical humanities education.

主题分类 醫藥衛生 > 醫藥總論
社會科學 > 教育學
参考文献
  1. Chen, YY、Wang, WD、Leung, KK(2011)。Some thoughts about medical humanities education。J Med Educ(Taiwan),15,215-21。
    連結:
  2. Yang, JH、Chen, JY(2006)。The importance of role models in medical education: everyone should be a good role model。J Med Educ (Taiwan),10,8-15。
    連結:
  3. Female Vision: The Taiwanese Female Pioneers in the 20th Century (video in Chinese). Taipei,Taiwan: Public Television Service Foundation,2004.
  4. Blackwell E: Pioneer Work in Opening the Medical Profession to Women: Autobiographical Sketches. London: Longmans, Green & Co.,1895.
  5. Artino, AR,Durning, S(2012).Media will never influence learning: but will simulation.Med Educ,46,630-5.
  6. Berk, RA(2009).Teaching strategies for the net generation.Transformative Dialogues: Teach Learn J,3,1-24.
  7. Charon R(2004).Narrative and medicine.N Engl J Med,350,862-4.
  8. Charon, R(2001).Narrative medicine: A model for empathy, reflection, profession, and trust.JAMA,286,1897-902.
  9. Charon, R(2006).Narrative Medicine: Honoring the Stories of Illness.New York:Oxford University Press.
  10. Charon, R(ed.),Montello, M(ed.)(2002).Stories Matter: the Role of Narrative in Medical Ethics.New York:Routledge.
  11. Coulehan J(2005).Today' s professionalism: engaging the mind but not the heart.Acad Med,80,892-8.
  12. Cruess, RL(ed.),Cruess, SR(ed.),Steinert, Y(ed.)(2009).Teaching Medical Professionalism.London:Cambridge University Press.
  13. Dornan, T(ed.),Mann, KV(ed.),Scherpheir, AJ(ed.)(2011).Medical Education: Theory and Practice.Edinburgh:Elsevier.
  14. Gaufberg, EH,Malden, M,Sands, R(2010).The hidden curriculum: what can we learn from thirdyear medical student narrative reflections.Acad Med,85,1709-16.
  15. Gillign, C(1982).In a Different Voice.Cambridge, MI:Harvard University Press.
  16. Gunderman, RB(ed.)(2006).Achieving Excellence in Medication Education.London:Springer-Verlag London Ltd.
  17. Gunderman, RB,Kanter, S(2008)."How to fix the premedical curriculum" revisited.Acad Med,83,1158-61.
  18. Ji, JN(2007)。Biography of Hsu Shih Sian。Taipei, Taiwan:San Min Publisher。
  19. Kanter, SL,Winners, PF,Levine, AS(2007).In-depth learning: One school' s initiatives to foster integration of ethics, values, and the human dimensions of medicine.Acad Med,82,405-9.
  20. Lin, CE(2010).The outcome report of general education reform projects.Taipei Taiwan:Ministry of Education.
  21. Lorene, K(2003).Florence Nightingale.Uhrichsville OH:Barbour Publishing Inc..
  22. McGrayne, S B(1998).Nobel Prize Women in Science: Their Lives, Struggles, and Momentous Discoveries.Washington, D.C.:Joseph Henry Press.
  23. Miller, SZ,Schmidt, HJ(1999).The habit of humanism: a framework for marketing humanistic care a reflexive clinical skill.Acad Med,74,800-21.
  24. Rees, CE,Knight, LV(2007).The trouble with assessing students' professionalism: theoretical insights from sociocognitive psychology.Acad Med,82,46-50.
  25. Runyan, WM(1982).Life Histories and Psychobiography: Explorations in Theory and Methods.New York:Oxford University Press.
  26. Strauss, A,Corbin, J(1990).Basics of Qualitative Research: Ground Theory Procedures and Techniques.Newbury Park, California:Sage.
  27. Swick, HM,Szenas, P,Danoff, D(1999).Teaching professionalism in undergraduate medical education.JAMA,282,830-2.
  28. Wald, HS,Stephen, WD,Reis, SP(2009).Reflecting on reflections: enhancement of medical education curriculum with structured field notes and guided feedback.Acad Med,84,830-7.
  29. Westberg, J,Jason, H(2001).Fostering Reflection and Providing Feedback: Helping Others Learn from Experience.New York:Springer.
  30. White, M,Epston, D(1990).Narratives Means to Therapeutic Ends.New York:W. W. Norton.
  31. Woolfolk, A(2004).Educational Psychology.Boston:Pearson.
  32. Wright, SM,Carrese, JA(2002).Excellence in role modeling: insight and perspectives from the pros.CMAJ,167,638-43.