Persistent influence of a narrative educational program on physician attitudes regarding patient care

Medical Teacher
Jennifer N StojanArno K Kumagai

Abstract

Educational approaches involving patient stories aim at enhancing empathy and patient-centered care; however, it is not known whether the influence of such programs on physician attitudes persists beyond medical school. The Family Centered Experience (FCE) paired preclinical medical students with patient families over two years and engaged students in reflective dialogs about the volunteers' stories. This study examined possible long-term influences on attitudes toward medicine and doctoring. Interviews were conducted with former students at the end of or after post-graduate training. All had completed the FCE between 4 and 10 years before the study. Thematic analysis was informed by a constructivist Grounded Theory approach. Several themes were identified. The FCE made graduates aware of the patients' perspectives and impacted their clinical practice in specific ways, such as developing collaborative partnerships, conducting family meetings, and breaking bad news. The course had influenced career choices and interest in teaching. Finally, the FCE enhanced appreciation of the human dimensions of medicine, which graduates had drawn upon in subsequent years. A program based on longitudinal interactions with individuals with chron...Continue Reading

References

Nov 1, 1994·Academic Medicine : Journal of the Association of American Medical Colleges·F W Hafferty, R Franks
May 15, 1998·Academic Medicine : Journal of the Association of American Medical Colleges·F W Hafferty
Aug 30, 2000·Medical Education·M Albanese
Oct 26, 2001·JAMA : the Journal of the American Medical Association·R Charon
Jun 17, 2006·Teaching and Learning in Medicine·Ann Marie JohnsonKaren Richardson-Nassif
Sep 27, 2006·The Journal of Medical Humanities·Johanna ShapiroAudrey Shafer
Jun 15, 2007·Teaching and Learning in Medicine·Janice L Hanson, Virginia F Randall
Sep 6, 2007·Medical Teacher·Arno K KumagaiJeffrey A Steiger
Jun 3, 2008·Advances in Health Sciences Education : Theory and Practice·Arno K KumagaiPaula T Ross
Jun 27, 2008·Academic Medicine : Journal of the Association of American Medical Colleges·Arno K Kumagai
Aug 26, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Casey B WhiteJoseph C Fantone
Apr 22, 2010·Journal of General Internal Medicine·Hedy S Wald, Shmuel P Reis
Mar 15, 2011·Perspectives in Biology and Medicine·J Donald BoudreauRichard L Cruess
May 20, 2011·Medical Humanities·Martin Kohn
Mar 28, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Delese WearTherese Jones
Jun 23, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Arno K Kumagai
Sep 6, 2013·The Journal of Medical Humanities·Jay M Baruch
Mar 26, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Arno K Kumagai
Apr 1, 2014·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Eric P SkyeArno K Kumagai
Apr 23, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Arno K Kumagai, Delese Wear
May 16, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·J Donald BoudreauYvonne Steinert
Nov 27, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Arno K Kumagai, Thirusha Naidu
Jan 23, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·Beverley H Johnson
Nov 25, 2016·Medical Education·Elizabeth K JonesArno K Kumagai

❮ Previous
Next ❯

Citations

Sep 5, 2018·The Journal of the American Osteopathic Association·Mireille N Rizkalla, Kyle K Henderson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Advances in Health Sciences Education : Theory and Practice
Arno K KumagaiPaula T Ross
Academic Medicine : Journal of the Association of American Medical Colleges
Arno K Kumagai
Education for Health : Change in Training & Practice
Behnoosh AfghaniJohanna Shapiro
© 2022 Meta ULC. All rights reserved