Developmental Life of the Medical Student: Curriculum Considerations

详细信息    查看全文

• 作者：Don R. Lipsitt
• 关键词：Medical student ; Medical curriculum ; Hidden curriculum
• 刊名：Academic Psychiatry
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：39
• 期：1
• 页码：63-69
• 全文大小：
• 参考文献：1.Erikson E. Identity: youth and crisis. New York: WW Norton; 1968.
  2.Berry GP. Fifth Teaching Institute of the Association of American Medical Colleges. 68th Annual Meeting, October 18鈥?9. Atlantic City: Association of American Medical Colleges; 1957.
  3.Roberts LW, Warner TD, Rogers M, et al. Medical student illness and impairment: a vignette-based survey study involving 955 students at 9 medical schools. Compr Psychiatry. 2005;46:229鈥?7.PubMed CrossRef
  4.Dyrbye LN, Thomas MR, Shanafelt TD. Medical student distress: causes, consequences, and proposed solutions. Mayo Clin Proc. 2005;80:1613鈥?2.PubMed CrossRef
  5.Putnam C. Reform and innovation: a repeating pattern during a half century of medical education in the USA. Med Educ. 2006;40:227鈥?4.PubMed CrossRef
  6.Moore G, Block SD, Style CB, et al. The influence of the New Pathway curriculum on Harvard medical students. Acad Med. 1994;69:983鈥?.PubMed CrossRef
  7.New York Times: Effort grows to create sensitive doctors. April 8, 1986.
  8.Bloom SW. The medical school as a social organization: the sources of resistance to change. Med Ed. 1989;23:228鈥?1.CrossRef
  9.Weiner DB. Philippe Pinel: The clinical training of doctors. An essay of 1793. Baltimore: Johns Hopkins University Press; 1980.
  10.Report of the panel on the general professional education of the physician (GPEP) and college preparation for medicine. Physicians for the Twenty-first Century. Washington, DC: Association of American Medical Colleges; 1984.
  11.Newton BW, Barber L, Clardy J, Cleveland E, et al. Is there hardening of the heart during medical school? Acad Med. 2008;83:244鈥?.PubMed CrossRef
  12.Project of ABIM Foundation, ACP-ASIM Foundation, European Federation of Internal Medicine. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136:243鈥?.CrossRef
  13.Eron LD. Effect of medical education on medical students鈥?attitudes. J Med Ed. 1955;30:559鈥?6.
  14.Ludmerer KM. Time to heal: American medical education from the turn of the century to the era of managed care. New York: Oxford University Press; 1999.
  15.Roberts LW, Warner TD, Lyketsos C, et al. Perceptions of academic vulnerability associated with personal illness: a study of 1,027 students at nine medical schools. Collaborative Research Group on Medical Student Health. Compr Psychiatry. 2001;42:1鈥?5.PubMed CrossRef
  16.Madill A, Latchford G. Identity change and the human dissection experience over the first year of medical training. Soc Sci Med. 2005;60:1637鈥?7.PubMed CrossRef
  17.Reis DC. Who am I and why am I here? Professionalism research through the eyes of a medical student. Acad Med. 2008;83(10 Suppl):S111鈥?.PubMed CrossRef
  18.Daniels MJ. Affect and its control in the medical intern. Am J Sociol. 1960;16:259鈥?1.CrossRef
  19.Zabarenko RN, Zabarenko LM. The doctor tree. Pittsburgh: University of Pittsburgh Press; 1978.
  20.Gabbard GO, Roberts LW, Crisp-Han H. Professionalism in psychiatry. Washington, DC: American Psychiatric Publishing; 2012.
  21.Murinson BB, Klick B, Haythornthwaite JA, et al. Formative experiences of emerging physicians: gauging the impact of events that occur during medical school. Acad Med. 2010;85:1331鈥?.PubMed CrossRef
  22.Cohen J. Linking professionalism to humanism: what it means, why it matters. Acad Med. 2007;82:1029鈥?2.PubMed CrossRef
  23.Peabody FW. The care of the patient. JAMA. 1927;88:877鈥?2.CrossRef
  
• 作者单位：Don R. Lipsitt (1)
  
  1. Harvard Medical School, Cambridge, MA, USA
  
• 刊物类别：Psychiatry; Medical Education;
• 刊物主题：Psychiatry; Medical Education;
• 出版者：Springer International Publishing
• ISSN：1545-7230

文摘

Few medical educators would dispute that the emotional development and well being of the medical student is of critical importance in the pathway to physicianhood. It has been suggested that failure to address this aspect of medical education may account for various health problems and levels of impairment during medical school and beyond. Some authors have suggested that the personal development and 鈥減rofessionalization鈥?of the student occurs through modeling, the medical school 鈥渃ulture,鈥?and the 鈥渉idden curriculum.鈥?In recognition of the randomness, incompleteness, or inadequacy of this approach, a number of attempts have been made to address this important but difficult dimension of medical education. However, programs designed to foster self-reflection and appreciation of affect in the physician鈥損atient relationship are often limited as electives or unsupported by faculty and staff and therefore fall short of their objective. The author proposes that a pedagogical framework based on an analogy of life cycle theory (a la Erikson or others) offers a schema within which to consider efforts being made in medical curricula to promote self-awareness, appreciation of affect in oneself and one鈥檚 patients, and a context in which to minimize the risk of illness and impairment. Keywords Medical student Medical curriculum Hidden curriculum