Focus Session Humanism in the Medical Curriculum by mikesanye


									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

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                            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

                        Byron Crawford, MD
                 Associate Professor of Pathology
              Director, Mechanisms of Disease Course
                     Department of Pathology
               Tulane University School of Medicine
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
   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.

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
Research and humans
Genetic diseases (ethics, physician patient relationship, genetic counseling)
Miscarriage, induced abortions
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
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”

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