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Physicianship and the Rebirth of Medical Education

Physicianship and the Rebirth of Medical Education
Author: J. Donald Boudreau
Publisher: Oxford University Press
Total Pages: 360
Release: 2018-02-26
Genre: Medical
ISBN: 0199370826
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The renewal of medical curricula generally arises from emerging pedagogies (e.g. problem-based learning), new technologies (e.g. high fidelity simulation), or prevailing sociocultural forces (e.g. complexity of health care delivery and team-based care). Approximately 15 years ago, a team of physicians and administrators sought to take this further: by considering the very nature of medical practice and the patient-physician relationship that is the context and conduit of caring and care, they restructured the composition and function of medical education. This book, Physicianship and the Rebirth of Medical Education, is the authoritative publication on the philosophy, design, and implementation of this new curriculum. From first year to graduation, this book reimagines the education of medical students in its entire scope. It discusses the epistemology of clinical practice and pedagogical methods and addresses pragmatic issues of curricular implementation. The educational blueprint presented in the book rests on a new definition of sickness, one focused on impairments of function as the primary issue of concern for both patients and their care givers. This perspective avoids the common shift of medical attention from persons to diseases, and thus provides the basis for an authentic and robust patient-centered mindset. The title of the book refers to a "rebirth." This implies that there was a previous "birth." Indeed, the critical ingredients of medical education were articulated historically and many features emanate from a time-honored apprenticeship model. This book recognizes in William Osler and his "natural method of teaching the subject of medicine" the foundational elements for teaching physicianship. The practice of medicine is indelibly relational and, in turn, medical education is an intellectual and an emotional journey that is rooted in clinical relationships. As this book shows, medicine must unfold in the context of patient care; patients, not diseases, should be the center of attention.

Physicianship and the Rebirth of Medical Education

Physicianship and the Rebirth of Medical Education
Author: BOUDREAU ET AL.
Publisher:
Total Pages:
Release:
Genre: Medicine
ISBN: 9780190874377
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This text reimagines medical education and reconstructs its design. It originates from a reappraisal of the goals of medicine and the nature of the relationship between doctor and patient.--[Source inconnue].

Physicianship and the Rebirth of Medical Education

Physicianship and the Rebirth of Medical Education
Author: J. Donald Boudreau
Publisher: Oxford University Press
Total Pages: 360
Release: 2018-02-26
Genre: Medical
ISBN: 0199370834
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The renewal of medical curricula generally arises from emerging pedagogies (e.g. problem-based learning), new technologies (e.g. high fidelity simulation), or prevailing sociocultural forces (e.g. complexity of health care delivery and team-based care). Approximately 15 years ago, a team of physicians and administrators sought to take this further: by considering the very nature of medical practice and the patient-physician relationship that is the context and conduit of caring and care, they restructured the composition and function of medical education. This book, Physicianship and the Rebirth of Medical Education, is the authoritative publication on the philosophy, design, and implementation of this new curriculum. From first year to graduation, this book reimagines the education of medical students in its entire scope. It discusses the epistemology of clinical practice and pedagogical methods and addresses pragmatic issues of curricular implementation. The educational blueprint presented in the book rests on a new definition of sickness, one focused on impairments of function as the primary issue of concern for both patients and their care givers. This perspective avoids the common shift of medical attention from persons to diseases, and thus provides the basis for an authentic and robust patient-centered mindset. The title of the book refers to a "rebirth." This implies that there was a previous "birth." Indeed, the critical ingredients of medical education were articulated historically and many features emanate from a time-honored apprenticeship model. This book recognizes in William Osler and his "natural method of teaching the subject of medicine" the foundational elements for teaching physicianship. The practice of medicine is indelibly relational and, in turn, medical education is an intellectual and an emotional journey that is rooted in clinical relationships. As this book shows, medicine must unfold in the context of patient care; patients, not diseases, should be the center of attention.

Transforming Medical Education

Transforming Medical Education
Author: Delia Gavrus
Publisher: McGill-Queen's Press - MQUP
Total Pages: 405
Release: 2022-04-11
Genre: Medical
ISBN: 0228012333
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In recent decades, researchers have studied the cultures of medicine and the ways in which context and identity shape both individual experiences and structural barriers in medical education. The essays in this collection offer new insights into the deep histories of these processes, across time and around the globe. Transforming Medical Education compiles twenty-one historical case studies that foreground processes of learning, teaching, and defining medical communities in educational contexts. The chapters are organized around the themes of knowledge transmission, social justice, identity, pedagogy, and the surprising affinities between medical and historical practice. By juxtaposing original research on diverse geographies and eras – from medieval Japan to twentieth-century Canada, and from colonial Cameroon to early Republican China – the volume disrupts traditional historiographies of medical education by making room for schools of medicine for revolutionaries, digital cadavers, emotional medical students, and the world’s first mandatory Indigenous community placement in an accredited medical curriculum. This unique collection of international scholarship honours historian, physician, and professor Jacalyn Duffin for her outstanding contributions to the history of medicine and medical education. An invaluable scholarly resource and teaching tool, Transforming Medical Education offers a provocative study of what it means to teach, learn, and belong in medicine.

Educating Physicians

Educating Physicians
Author: Molly Cooke
Publisher: John Wiley & Sons
Total Pages: 320
Release: 2010-05-05
Genre: Education
ISBN: 0470617640
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PRAISE FOR EDUCATING PHYSICIANS "Educating Physicians provides a masterful analysis of undergraduate and graduate medical education in the United States today. It represents a major educational document, based firmly on educational psychology, learning theory, empirical studies, and careful personal observations of many individual programs. It also recognizes the importance of financing, regulation, and institutional culture on the learning environment, which suffuses its recommendations for reform with cogency and power. Most important, like Abraham Flexner's classic study a century ago, the report recognizes that medical education and practice, at their core, are profoundly moral enterprises. This is a landmark volume that merits attention from anyone even peripherally involved with medical education." —Kenneth M. Ludmerer, author, Time to Heal: American Medical Education from the Turn of the Century to the Era of Managed Care "This is a very important book that comes at a critical time in our nation's history. We will not have enduring health care reform in this country unless we rethink our medical education paradigms. This book is a call to arms for doing just that." —George E. Thibault, president, Josiah Macy, Jr. Foundation "The authors provide us with the evidence-based model for physician education with associated changes in infrastructure, policy, and our roles as educators. Whether you agree or not with their conclusions, if you are a teacher this book is a must-read as it will frame both what and how we discuss medical education throughout the current century." —Deborah Simpson, associate dean for educational support and evaluation, Medical College of Wisconsin "A provocative book that provides us with a creative vision for medical education. Using in-depth case studies of innovative educational practices illustrating what is actually possible, the authors provide sage advice for transforming medical education on the basis of learning theories and educational research." —Judith L. Bowen, professor of medicine, Oregon Health & Science University

Becoming a Physician

Becoming a Physician
Author: Thomas Neville Bonner
Publisher: JHU Press
Total Pages: 430
Release: 2000
Genre: Medical
ISBN: 9780801864827
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Focusing on the social, intellectual, and political context in which medical education took place, Thomas Neville Bonner offers a detailed analysis of transformations in medical instruction in the United Kingdom, France, Germany, and the United States between the Enlightenment and World War II. From a unique comparative perspective, this study considers how divergent approaches to medical instruction in these countries mirrored as well as impacted their particular cultural contexts. The book opens with an examination of key developments in medical education during the late eighteenth century and continues by tracing the evolution of clinical teaching practices in the early 1800s. It then charts the rise of laboratory-based teaching in the nineteenth century and the progression toward the establishment of university standards for medical education during the early twentieth century. Throughout, the author identifies changes in medical student populations and student life, including the opportunities available for women and minorities.

The Rebirth of the Clinic

The Rebirth of the Clinic
Author: Daniel P. Sulmasy MD, PhD, OFM
Publisher: Georgetown University Press
Total Pages: 268
Release: 2006-05-19
Genre: Medical
ISBN: 9781589014626
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The Rebirth of the Clinic begins with a bold assertion: the doctor-patient relationship is sick. Fortunately, as this engrossing book demonstrates, the damage is not irreparable. Today, patients voice their desires to be seen not just as bodies, but as whole people. Though not willing to give up scientific progress and all it has to offer, they sense the need for more. Patients want a form of medicine that can heal them in body and soul. This movement is reflected in medical school curricula, in which courses in spirituality and health care are taught alongside anatomy and physiology. But how can health care workers translate these concepts into practice? How can they strike an appropriate balance, integrating and affirming spirituality without abandoning centuries of science or unwittingly adopting pseudoscience? Physician and philosopher Daniel Sulmasy is uniquely qualified to guide readers through this terrain. At the outset of this accessible, engaging volume, he explores the nature of illness and healing, focusing on health care's rich history as a spiritual practice and on the human dignity of the patient. Combining sound theological reflection with doses of healthy skepticism, he goes on to describe empirical research on the effects of spirituality on health, including scientific studies of the healing power of prayer, emphasizing that there are reasons beyond even promising research data to attend to the souls of patients. Finally, Sulmasy devotes special attention and compassion to the care of people at the end of life, incorporating the stories of several of his patients. Throughout, the author never strays from the theme that, for physicians, attending to the spiritual needs of patients should not be a moral option, but a moral obligation. This book is an essential resource for scholars and students of medicine and medical ethics and especially medical students and health care professionals.

Contemporary Challenges in Medical Education

Contemporary Challenges in Medical Education
Author: Zareen Zaidi
Publisher: University Press of Florida
Total Pages: 297
Release: 2019-04-11
Genre: Medical
ISBN: 1683400860
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While medical schools usually emphasize the teaching of advanced scientific fundamentals through a carefully planned, formal curriculum, few focus on the equally crucial “hidden curriculum” of professional attitudes, skills, and behaviors. This concise and practical guide helps educators effectively prepare students for seldom-taught issues that arise daily in the practice of clinical medicine. In this volume, experienced clinician-educators offer real-world examples of various pedagogical and clinical scenarios, providing evidence- and theory-based approaches to managing three areas of growth: professional development, professionalism, and teaching. Acknowledging human fallibility, the editors begin with a framework that institutions, educators, and learners can use to promote well-being, outlining strategies for mindfulness training, relaxation techniques, appreciative inquiry, narrative medicine, and positive psychology. They then apply these strategies to additional developmental topics like failure, burnout, and improving resilience, social identity formation, and graceful self-promotion. The editors move on to discuss power differentials. They suggest ways of combatting microaggressions faced by women and minorities, fostering a safe learning environment where learners feel comfortable advocating in the setting of ethical dilemmas, recognizing and avoiding student mistreatment, and encouraging humility. They close with implications for the classroom, explaining the benefits and pitfalls of electronic health records and social media, the positive and negative attributes of role models, how to comfortably navigate controversial topics like gun ownership and abortion, and teaching empathy. With helpful infographics and case studies, this volume is a valuable resource for frontline educators who wish to help learners navigate the transition from layperson to medical professional.

By the Bedside of the Patient

By the Bedside of the Patient
Author: Nortin M. Hadler, M.D.
Publisher: UNC Press Books
Total Pages: 221
Release: 2016-01-11
Genre: Medical
ISBN: 1469626675
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In By the Bedside of the Patient, Nortin Hadler places current efforts to reform medical education--from the undergraduate level through residency programs and on to continuing medical education--in historical context. In doing so, he traces the evolution of medical school curricula, residency and fellowship programs, and the clinical practices they promoted. Hadler examines crucial junctures in history to locate the seeds for reform. Some believe that medical education and training should highlight literature, ethics, and culture, while others emphasize science and efficiency to abbreviate the time from entry to licensure. Neither of these approaches, Hadler argues, maintains or improves patient care, which should be at the core of medical education and practice. Hadler contends that most reform attempted thus far constitutes, at best, little more than a reshuffling of the basic curriculum and, at worst, an augmenting of medicine's predilection to measure, grade, and record. Examining generational changes in medical education, Hadler mines sixty years of training and practice to identify mistaken approaches and best practices. Ultimately, in the contemporary era of managed care, Hadler argues for a clinical practice that draws on the best available scientific knowledge, transmits the wisdom of experienced clinicians, reforges an empathetic relationship between physician and patient, and treats each patient as an individual--all centered on restoring the mandate to care.