Focus Session: “Humanism in the Medical Curriculum” Presented at the 8th Annual Meeting of the International Association of Medical Science July 11 2004 New Orleans, LA QuickTime™ an d a TIFF (Uncompressed) decompressor are need ed to see this picture . Presented by Cathy J. Lazarus MD FACP Professor of Medicine Assistant Dean for Graduate Medical Education Director, Foundations in Medicine Program Tulane University School of Medicine firstname.lastname@example.org Byron Crawford, MD Associate Professor of Pathology Director, Mechanisms of Disease Course Department of Pathology Tulane University School of Medicine email@example.com Focus Session: “Humanism in the Medical Curriculum” “Humanism encompasses those attitudes and behaviors that emanate from a deep sensitivity and respect for others, including full acceptance of all cultural and ethnic backgrounds. Further, humanism is exemplified through compassionate, empathetic treatment of all persons while recognizing each one’s needs and autonomy.” -The Arnold P. Gold Foundation Goals for the Session: After participating in this session, attendees will be able to: 1. Define “humanism” as it applies to the profession of medicine and to medical education. 2. Develop ideas and strategies to integrate the teaching of humanism into the basic science curriculum. 3. Commit to trying at least one strategy upon the return to the home institution. 4. Increase knowledge of current national efforts to promote humanism in medicine. Agenda: Background and Overview 30 minutes Small Group Work 30 minutes Wrap Up and Summary 30 minutes Focus Session: “Humanism in the Medical Curriculum” Directions for Small Group Discussion: You have been selected (drafted?) by the Associate Dean for Academic Affairs, chair of the Curriculum Committee, your Department Chair and the course director to participate in a school wide effort to increase the teaching of humanism across all four years of the medical school curriculum at BMS. The Dean has formed several task groups to address 4 themes that the oversight group has identified. Your group has been asked to address one of the themes and to prepare a report for the curriculum committee on your ideas about how to integrate the theme into the teaching in the basic sciences. Specifically, consider the following: 1. What activities would you suggest? 2. In what context and how would you implement them? 3. What obstacles/barriers do you anticipate? 4. How would you overcome them? Focus Session: Humanism in the Medical Curriculum Thematic Core End of life issues/suffering (Group 1) Psychological and physical aspects of chronic disease Attitudes towards terminal illness Understanding bereavement Death and Dying Suffering and the patient Hospice and palliative care Brain Death Physician Assisted Suicide Effect on children of parental death Cancer (patient doctor relationship, patient family relationship, hospice) Ethical Concerns (Group 2) Informed Consent Confidentiality Research and humans Genetic diseases (ethics, physician patient relationship, genetic counseling) Miscarriage, induced abortions Infertility Medical mistakes and truth telling Controversies related to the beginning and ending of life Need for dissections of cadaver Animal use in research Transplantation (creation of new diseases, life styles, patient family relationships, selection of organ recipients) Sanctity of human remains Service of gratitude Reporting, recognizing medical errors Need for autopsies Discussion of autopsy results with family members Culture and Context (Group 3) Doctor Patient relationship and the effects on the therapeutic relationship Physician Family relationships Patient Family relationships Cultural Differences and effects on care of patients Patient Disabilities Faith and Medicine Psychosocial issues of patient care Cultural and religious diversity Technology and Public Health (Group 4) Medical care for the underserved Need for autopsies given modern technology Infectious diseases (quarantine, isolation) Nutritional issues (obesity, anorexia, patient doctor relationship) Alcohol/Drug abuse Dialysis (patient family relationship) Availability of services and technology Transfusion medicine issues (hepatitis C, infectious diseases) Focus Session: “Humanism in the Medical Curriculum” References 1. Rizzolo LJ. Human dissection: on approach to interweaving the traditional and humanistic goals of medical educational. The Anatomical Record (New Anat.). 269:242- 248, 2002. 2. Jones T, Verghese A. On becoming a humanities curriculum: the center for medical humanities and ethics at the University of Texas Health Science Center at San Antonio. Acad Med. 78:1010-1014, 2003. 3. Montgomery K, Chambers T, Reifler DR. Humanities education at Northwestern University’s Feinberg School of Medicine. Acad Med. 78:958-962, 2003. 4. Krackov SK, Levin RI, Catanese V, et. al. Medical humanities at New York University School of Medicine: An array of rich programs in diverse settings. Acad Med. 78:977- 982, 2003. 5. Miller SZ, Schmidt HJ. The habit of humanism: A framework for making humanistic care a reflexive clinical skill. Acad Med. 74:800-803, 1999. 6. Engelberg J. A program of integrative humanistic study for medical students. Acad Med. 67:455-456, 1992. 7. Kitchen AD. Second-year medical students’ experiences with death among their families and friends. Journ Med Edu. 61:760-761, 1986. 8. Pellegrino ED. Humanism in human experimentation: some notes of the investigators fiduciary role. Texas Rep Biol Med. 32:311-325, 1974. 9. Hoff C. Immoral and moral uses of animals. NEJM. 302:115-118, 1980. 10. Rogers JC, Coutts L. Do students’ attitudes during preclinical years predict their humanism as clerkship students? Acad Med. 73:S74-S80, (Supplement) 2000. 11. Maheux B, Beaudoin C, Berkson L, et. al. Medical faculty as humanistics physicians and teachers: the perceptions of students at innovative and traditional medical schools. Med Edu. 34:630-634, 2000. 12. Special theme brief articles, United States and International on Medical Humanities Programs. Acad Med. 78:1058-1075, 2003. 13. Hawkins AH, Ballard JO, Hufford DJ. Humanities Education at Pennsylvania State University College of Medicine, Hershey, Pennsylvania. Acad Med. 78:1001-1005, 2003. 14. Jones AH, Carson RA. Medical humanities at the University of Texas Medical Branch at Galveston. Acad Med. 78:1006-1009, 2003. 15. Conrad P. Learning to Doctor: Reflections on recent accounts of the medical school years. Journ Health Soc Behav. 29:323-332, 1988.
Pages to are hidden for
"Focus Session Humanism in the Medical Curriculum"Please download to view full document