RemainingHuman:UsingLiteratureandCinematoTeachProfessionalism
KatePetersonStanley,MDDepartmentofPediatrics,UniversityofMichiganMedicalSchool
Methods
did
ClubThemesandReflections
TeachingImplications
FutureClubsandDirections
AcknowledgementsTheInvestigatingStudentLearning(ISL)ProgramwasfundedbytheUniversityofMichiganOfficeoftheProvost,theCollegeofEngineering,andtheCenterforResearchonLearningandTeaching(CRLT).Facultyclubparticipants:NaomiLaventhal,MD,RebeccaVartanian,MDandGaryWeiner,MDCRLTAdvisor:StephanieKusano,Ph.D.
Professionalismisacorecompetencyofgraduatemedicaleducation.Skillsincludestrongcommunicationabilitiesandsensitivitytodiversepatientpopulations.Manyprogramslackwell-definedprofessionalismcurriculums.Theintensedemandsofclinicaltrainingcanresultinaninabilitytotreatthepatientasaperson.
Cinemaandliteraturearenoveltoolsthatcanevokeemotionsandpromotereflectivediscussionaboutpersonalbehavior,humaninteractionandculturalsensitivity.Engagedlearningoutcomesusingthesemethodshavenotbeenwidelystudied.Objective: Todeterminewhetherabook/movieclubwillimprovethefollowingengagedstudentlearningoutcomesamongphysicianlearners:- Communicationskills- Culturalsensitivity
BackgroundandObjective
Intervention:Neonatologyphysicianlearners(n=8)andfaculty(n=4)have
participatedin5of6book/movieclubs.Usingtheflippedclassroomideology,allparticipantsreviewedtheassignedbook/moviepriortotheevent.Eachclubconvenedoutsidethehospitalenvironmentandconsistedofamealfollowedbyaonehourdiscussion.Physicianlearnerscompletedapreandpostquestionnairereflectingonvariousdiscussiontopics.AssessmentandAnalysis:1)PatientandTeamCommunicationSkillsofPhysicianLearners- PreandpostquantitativeselfevaluationbasedonthemodifiedversionoftheAmericanBoardofInternalMedicinePatientAssessmentSurvey(Symonsetal.)andthe360DegreeEvaluationofResidents’InterpersonalandCommunicationQuestionnaire(Joshietal.)comparedtoacontrolpeergroup(n=15).-Preandpostquantitativeevaluationbynursingstaff(8-12staff/learner)usingthe360DegreeEvaluationofResidents’InterpersonalandCommunicationQuestionnaire(Joshietal).2)CulturalSensitivityofPhysicianLearners- PreandpostquantitativeselfevaluationbasedontheCulturalIntelligenceScale(VanDyne)comparedtoacontrolpeergroup(n=15)- Qualitativeanalysisofclubreflectivewritingsforcommonthemes.
AssumptionsVialula(Lou)tellsBenStoneto“Peelanonion,it’sgotlotsoflayers.”Whatdoesthisquotemeantoyou?
Peoplearelotsofversionsofthemselves.Allaretrueselves,butareexposedtotheirenvironmentindifferentways.Iamafellow,daughter,mother,wife,andfriend.Alltheselayersaremyself,butrequiredifferentattitudesandwaysofbehaving.
PrejudicesandRacismCharactersacthatefullyinsomesituationsbutkindlyinothers.Whatdotheseincidentssayaboutpeopleandhumannature?
Ithinkitishumannaturetopassjudgmentbasedonwhatweseeandnotthepersoninside.Weseethishappeneverydayandit’sbecomethe“norm”unfortunatelyandIthinkit’ssomethingweallmustworkon.
OutcastsAsphysicians,canweavoidorrefusetotreatapatientbasedonourbeliefs,fearsorriskstoourownlife?
Idon’tthinkitisrighttorefusetotreatapatientbasedonbeliefs/race/etc.However,wedohavetotakecareofthesepatientssafelyforthemandforus.Butitseemsthereshouldalwaysbeawaytodothat.
IntegrityandCultureThereweremultipleopportunitiesforindividualstocomeforwardandpotentiallypreventharmtofuturepatients.Howdoyouthinkthe“culture”ofa professionorinstitutioninfluencesourpersonalintegrity?
Ideally,integrityshouldtrumpculture.Trueintegritywouldcauseyoutoignorecultureanddowhatisright.However,cultureisoftenthemostoppressingforce.
ThePatientPerspectiveAfterviewingthemovieanddiscussingVivian’sexperience,willyouchangeyourbehaviorwithpatientsmovingforward?
It’salwaysgoodtohavearemindertore-commityourselftoprovidegoodcare,andtothinkabouteveryinteraction,bigorsmall,asanopportunitytodobetter.
ChooseKindAuggie’sEnglishTeacher,Mr.Browneisknownforhisprecepts– principlestoliveby.Reflectingbackonthisyear’sclubdiscussions,writeyourprecept.
- Thebook/movieclubisaninnovativenon-conventionalmethodofexploringbothculturalintelligenceandinterpersonalcommunicationskills.
- Todate,thisprojectdemonstratesthatcommonliteratureandcinemacanbeusedingraduatemedicaleducationdespitetheworkdemandsofmedicalfellowship training.
- Feedbackfrombothfacultyandphysicianlearnershasbeenverypositiveregardingtheoutsidehospitalsetting,timedemands,book/moviechoicesandthemesandsenseofcomraderyamongthephysicianlearnergroup.
- Currentplansaretocontinuethebook/movieclubaspartoftheUniversityofMichiganNeonatologyFellowshipprofessionaldevelopmentcurriculumforthe2017-2018year.
FutureDirections:-Itisanticipatedthatpost-clubdatacollectionandstatisticalanalysiswillbecompletebyJuneandAugust,2017,respectively.-FinalresultswillbesharedwiththePediatricandMedicalEducationCommunityviapublicationsandpresentationsatlocalandnationallevels.
