BMC Medical Education | |
Spirituality and health in the curricula of medical schools in Brazil | |
Harold G Koenig2  José Roberto Leite4  Leandro Romani de Oliveira4  Daniele Corcioli Mendes Espinha1  Alessandra Lamas Granero Lucchetti1  Giancarlo Lucchetti3  | |
[1] São Paulo Medical Spiritist Association, Av. Juriti, 367 apto 131 – Moema, São Paulo, SP, CEP: 04520-000, Brazil;King Abdulaziz University, Jeddah, Saudi Arabia;João Evangelista Hospital, São Paulo, Brazil;Federal University of São Paulo, São Paulo, Brazil | |
关键词: Medical students; Medical schools; Medical education; Religion; Spirituality; | |
Others : 1153415 DOI : 10.1186/1472-6920-12-78 |
|
received in 2012-03-23, accepted in 2012-08-15, 发布年份 2012 | |
【 摘 要 】
Background
According to recent surveys, 59% of British medical schools and 90% of US medical schools have courses or content on spirituality and health (S/H). There is little research, however, on the teaching of S/H in medical schools in other countries, such as those in Latin America, Asia, Australia and Africa. The present study seeks to investigate the current status of teaching on S/H in Brazilian medical schools.
Methods
All medical schools in Brazil (private and public) were selected for evaluation, were contacted by email and phone, and were administered a questionnaire. The questionnaire, sent by e-mail, asked medical school directors/deans about any S/H courses that were taught, details about those courses, S/H lectures or seminars, importance of teaching this subject for medical school directors, and medical schools characteristics.
Results
A total of 86 out of 180 (47.7%) medical schools responded. Results indicated that 10.4% of Brazilian Medical Schools have a dedicated S/H courses and 40.5% have courses or content on spirituality and health. Only two medical schools have S/H courses that involve hands-on training and three schools have S/H courses that teach how to conduct a spiritual history. The majority of medical directors (54%) believe that S/H is important to teach in their schools.
Conclusion
Few Brazilian medical schools have courses dealing specifically with S/H and less than half provide some form of teaching on the subject. Unfortunately, there is no standard curriculum on S/H. Nevertheless, the majority of medical directors believe this issue is an important subject that should be taught.
【 授权许可】
2012 Lucchetti et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150407094817170.pdf | 200KB | download | |
Figure 1. | 72KB | Image | download |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]Miller WR, Thoresen CE: Spirituality, religion, and health: An emerging research field. Am Psychol 2003, 58:24-35.
- [2]Lucchetti G, Lucchetti AGL, Badan-Neto AM, Peres PT, Peres MFP, Moreira-Almeida A, Gomes C, Koenig HG: Religiousness affects mental health, pain and quality of life in older people in an outpatient rehabilitation setting. J Rehabil Med 2011, 43:316-322.
- [3]Williams DR, Sternthal MJ: Spirituality, religion and health: evidence and research directions. Medical journal of Australia 2007, 186:S47-S50.
- [4]Cobb MR, Puchalski CM, Rumbold B: Oxford Textbook of Spirituality in Healthcare. Oxford: OUP; 2012.
- [5]Mariotti L, Lucchetti G, Dantas M, Banin V, Fumelli F, Padula N: Spirituality and medicine: views and opinions of teachers in a Brazilian medical school. Medical teacher 2011, 33:339-340.
- [6]Koenig HG: Taking a spiritual history. JAMA 2004, 291:2881.
- [7]Barnett KG, Fortin VI AH: Spirituality and medicine. J Gen Intern Med 2006, 21:481-485.
- [8]Puchalski CM, Larson DB: Developing curricula in spirituality and medicine. Academic medicine: journal of the Association of American Medical Colleges 1998, 73:970-974.
- [9]Puchalski C: Spirituality and medicine: curricula in medical education. J Cancer Educ 2006, 21:14-18.
- [10]Lucchetti G, Lucchetti ALG, Puchalski CM: Spirituality in Medical Education. Global reality? J Relig Heal 2012, 51:3-19.
- [11]Neely D, Minford EJ: Current status of teaching on spirituality in UK medical schools. Medical education 2008, 42:176-182.
- [12]Koenig HG, Hooten EG, Lindsay-Calkins E, Meador KG: Spirituality in Medical School Curricula: Findings from a National Survey. Int J Psychiatry Med 2010, 40:391-398.
- [13]Lucchetti G, Granero A: Integration of spirituality courses in Brazilian medical schools. Medical education 2010, 44:527.
- [14]Peach HG: Religion, spirituality and health: how should Australia's medical professionals respond? Medical journal of Australia 2003, 178:86-90.
- [15]Koenig HG, McCullough ME, Larson DB: Handbook of religion and health. USA: Oxford University Press; 2001.
- [16]Costa W, Nogueira C, Freire T: The Lack of Teaching/Study of Religiosity/Spirituality in Psychology Degree Courses in Brazil: The Need for Reflection. J Relig Heal 2010, 49:322-332.
- [17]Fenton MV, Morris DL: The integration of holistic nursing practices and complementary and alternative modalities into curricula of schools of nursing. Altern Ther Health Med 2003, 9:62-67.
- [18]Moreira-Almeida A, Pinsky I, Zaleski M, Laranjeira R: Envolvimento religioso e fatores sociodemográficos: resultados de um levantamento nacional no Brasil. Rev Psiquiatr Clín 2010, 37:12-15.
- [19]Puchalski C, Romer AL: Taking a spiritual history allows clinicians to understand patients more fully. J Palliat Med 2000, 3:129-137.
- [20]Borneman T, Ferrell B, Puchalski CM: Evaluation of the FICA tool for spiritual assessment. J Pain Symptom Manage 2010, 40:163-173.
- [21]Puchalski C, Ferrell B, Virani R, Otis-Green S, Baird P, Bull J, Chochinov H, Handzo G, Nelson-Becker H, Prince-Paul M: Improving the quality of spiritual care as a dimension of palliative care: The report of the consensus conference. J Palliat Med 2009, 12:885-904.
- [22]Brokaw JJ, Tunnicliff G, Raess BU, Saxon DW: The teaching of complementary and alternative medicine in US medical schools: a survey of course directors. Acad Med 2002, 77:876-881.
- [23]Sloan RP, Bagiella E, VandeCreek L, Hover M, Casalone C, Hirsch TJ, Hasan Y, Kreger R, Poulos P: Should physicians prescribe religious activities? N Engl J Med 2000, 342:1913-1916.
- [24]Post SG, Puchalski CM, Larson DB: Physicians and patient spirituality: professional boundaries, competency, and ethics. Ann Intern Med 2000, 132:578-583.