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Promoting Professional Behavior in Concrete Ways Through Critical Reflection by Students in Medical Basic Science CoursesLon Van Winkle, Midwestern University |
A major challenge in medical education remains to foster empathy in
students during training. Empathy decreases in medical students both in
the context of medical education and patient care and more generally.
While such findings have been criticized as greatly exaggerated, the change is
in the wrong direction. For example, in one study, the emotional empathy
of the average medical student fell from the 52nd to the 33rd percentile of the
population during the first three years of medical school.
Emotional empathy is an independent determinant of relationship
success. Good relationships with patients and health care team members promote
patient satisfaction, foster adherence with treatment plans and minimize
malpractice claims. Cohen suggested that such professional behavior is animated
by humanistic values. Similarly, we have found that activities to foster
critical reflection can help to awaken the humanistic values needed for
professional behavior by giving students concrete contexts in which to consider
the values and behavior.
In this session we describe briefly a total of 20 learning activities
used over two academic quarters to promote students’ professional behavior in
our medical biochemistry courses while retaining biochemistry course content.
We then discuss in greater detail one activity designed to foster critical
reflection in students and persons attending this workshop. Attendees will
work individually and then in teams in order to experience first hand the
activity as students do. This critical reflection should, in turn, awaken
the humanistic values needed to animate professional behavior both in students
and attendees.