A Curriculum for Clerkship Students to Foster Professionalism Through Reflective Practice and Identity Formation

MedEdPORTAL

Susan A. Glod¹  Paul Haidet²  David Richard³  Patricia Gordon⁴  Mary Lynn Fecile⁵  Deborah Kees-Folts⁶  Margaret Kreher⁷  Eileen M. Moser⁷  Daniel R. Wolpaw⁸  Chengwu Yang⁹ 

[1] 1 Assistant Professor, Department of Medicine, Penn State Milton S. Hershey Medical Center;11 Director of Medical Education Research, Pennsylvania State University College of Medicine;2 Associate Professor, Department of Family Medicine, Pennsylvania State University;3 Associate Professor, Department of Pediatrics, Pennsylvania State University College of Medicine;4 Assistant Professor, Department of Pediatrics, Pennsylvania State University College of Medicine;5 Professor, Department of Pediatrics, Pennsylvania State University College of Medicine;6 Associate Professor, Department of Medicine, Pennsylvania State University College of Medicine;8 Professor, Departments of Medicine and Humanities, Pennsylvania State University College of Medicine;9 Assistant Professor, Department of Public Health Sciences, Pennsylvania State University;

关键词: Communication;    Reflective Practice;    Ideals;    Cognitive Dissonance;    Identity Formation;    Role Formation;   

DOI  :  10.15766/mep_2374-8265.10416

来源: DOAJ

【 摘 要 】

Abstract Introduction Research suggests that students become less patient-centered and empathetic in response to both internal and external factors, including the organizational culture, or hidden curriculum, of medical school. Students often feel compelled to make compromises when they experience tension between competing values in clinical teaching environments. To address this, we implemented a modular, longitudinal professionalism curriculum for third-year medical students, based on a conceptual model that highlights a student's ideal, as well as the internal and environmental forces that can either sustain or change their ideal over time. Methods As students progressed through the third year, they participated in various modules linked to different clerkships, each focusing on a different aspect of the conceptual model. Each module includes a reflective writing exercise followed by a faculty-facilitated discussion. Results In general, students rated the group discussions and faculty facilitation as the most useful parts of each session and the writing exercises as the least useful. Written comments were mostly favorable and suggested that the session facilitated self-reflection and provided a safe environment for students to discuss stressors of third-year clerkships. Discussion This curriculum represents a unique approach to fostering professional role formation through its broad potential applicability to multiple types and levels of learners, its adaptability to fit various course lengths and learning environments, and its incorporation of a conceptual model that allows individual learners to address different facets of the sustaining and acculturating forces that impact their personal professional identity formation for future encounters.

【 授权许可】

Unknown