A Qualitative Study of Medical Student's Structured Narrative Reflection on an International Conference for an Incurable Genetic Disease

10.6145/jme201315

Jun-Yi Sim；Ching-Yuan Chang；Hwan-Wun Liu；Shao-Yin Chu

structured narrative reflection ； service learning

Journal of Medical Education

17卷4期（2013 / 12 / 01）

137 - 145

英文

Background: Service learning offers medical students opportunities to develop social accountability and positive relationships; however, it remains underused in Taiwan. Purpose: This study explored student reflections on their experiences during the Third Asia Pacific Mucopolysaccharide Disorders Conference, a 2-day 1-night international conference, during which they served as interpreters and caregivers. Methods: Qualitative data analysis was conducted using structured open-ended questionnaires and student journals of ten fifth and sixth grade medical students who voluntarily participated in the study. Independent thematic analysis was performed using methods proposed by Cresswell and Miller. Results: Three themes emerged from qualitative data analysis: students learned social accountability, self-reflection for personal and professional development, and establishing student-patient relationships based on the experience. Conclusion: Service learning is a useful tool for teaching social accountability, self-reflection for personal and professional development, and fostering student-patient relationships particularly in Asian medical schools to train future physicians to be more perceptive to patients' needs.

1. Lee, CC,Lee, MR,Hsu, LC(2011).The influence of type of community organization on service-learning in medical students.J Med Education,15,232-44.
   連結：
2. Kakkis E, Wraith E: Clinical features and diagnosis of mucopolysaccharidoses. UpToDate. Accessed on May 30 th , 2012..
3. Ahn, D(2011).Struggling with inherent passivity.Globalization and indiginization of medical education, international conference,Taipei:
4. Brush, DR,Markert, RJ,Lazarus, CJ(2006).The relationship between service learning and medical student academic and professional outcomes.Teach Learn Med,18(1),9-13.
5. Creswell, JW(2007).Qualitative Inquiry & Research Design: Choosing among Five Approaches.CA:Sage.
6. Creswell, JW,Miller, DL(2000).Determining validity in qualitative inquiry.Theory Pract,39,124-30.
7. Hirsh, D,Walters, L,Poncelet, AN(2012).Better learning, better doctors, better delivery system: possibilities from a case study of longitudinal intergrated clerkships.Med Teach,34(7),548-54.
8. Hunt, HB,Bonham, C,Jones, L(2011).Understanding the goals of service learning and community-based medical education: a systematic review.Acad Med,86,246-51.
9. Law, S(2011).Using narratives to trigger reflection.Clin Teach,8,147-50.
10. Liang, EW,Yeo, WX,Koh, GC(2011).Doctors-to-be at the doorstep - comparing service-learning programs in an Asian medical school.Med Teach,33,e471-8.
11. Long, JA,Lee, RS,Federico, S(2011).Developing leadership and advocacy skills in medical students through service learning.J Public Health Manag Pract,17(4),369-72.
12. Meili, R,Fuller, D,Lydiate, J(2011).Teaching social accountability by making the links: qualitative evaluation of student experiences in a service-learning project.Med Teach,33,659-66.
13. Owen, JA,Gregory, MS,Connors, AF, Jr.(2002).Can medical school admission committee members predict which applicants will choose primary care careers?.Acad Med,77,344-9.
14. Seifer, SD(1998).Service learning: community-campus partnerships for health professions education.Acad Med,73,273-7.
15. Stagg, P,Prideaux, D,Greenhill, J(2012).Are medical students influenced by preceptors in making career choices, and if so how? A systematic review.Rural Remote Health,12,1832.
16. Tai, CT、Lee, MB(1996)。Health Professionals and Social Responsibility。Taipei:Ministry of Education, R.O.C。