Abstract
Few medical educators would dispute that the emotional development and well being of the medical student is of critical importance in the pathway to physicianhood. It has been suggested that failure to address this aspect of medical education may account for various health problems and levels of impairment during medical school and beyond. Some authors have suggested that the personal development and “professionalization” of the student occurs through modeling, the medical school “culture,” and the “hidden curriculum.” In recognition of the randomness, incompleteness, or inadequacy of this approach, a number of attempts have been made to address this important but difficult dimension of medical education. However, programs designed to foster self-reflection and appreciation of affect in the physician–patient relationship are often limited as electives or unsupported by faculty and staff and therefore fall short of their objective. The author proposes that a pedagogical framework based on an analogy of life cycle theory (a la Erikson or others) offers a schema within which to consider efforts being made in medical curricula to promote self-awareness, appreciation of affect in oneself and one’s patients, and a context in which to minimize the risk of illness and impairment.
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References
Erikson E. Identity: youth and crisis. New York: WW Norton; 1968.
Berry GP. Fifth Teaching Institute of the Association of American Medical Colleges. 68th Annual Meeting, October 18–19. Atlantic City: Association of American Medical Colleges; 1957.
Roberts LW, Warner TD, Rogers M, et al. Medical student illness and impairment: a vignette-based survey study involving 955 students at 9 medical schools. Compr Psychiatry. 2005;46:229–37.
Dyrbye LN, Thomas MR, Shanafelt TD. Medical student distress: causes, consequences, and proposed solutions. Mayo Clin Proc. 2005;80:1613–22.
Putnam C. Reform and innovation: a repeating pattern during a half century of medical education in the USA. Med Educ. 2006;40:227–34.
Moore G, Block SD, Style CB, et al. The influence of the New Pathway curriculum on Harvard medical students. Acad Med. 1994;69:983–9.
New York Times: Effort grows to create sensitive doctors. April 8, 1986.
Bloom SW. The medical school as a social organization: the sources of resistance to change. Med Ed. 1989;23:228–41.
Weiner DB. Philippe Pinel: The clinical training of doctors. An essay of 1793. Baltimore: Johns Hopkins University Press; 1980.
Report of the panel on the general professional education of the physician (GPEP) and college preparation for medicine. Physicians for the Twenty-first Century. Washington, DC: Association of American Medical Colleges; 1984.
Newton BW, Barber L, Clardy J, Cleveland E, et al. Is there hardening of the heart during medical school? Acad Med. 2008;83:244–9.
Project of ABIM Foundation, ACP-ASIM Foundation, European Federation of Internal Medicine. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136:243–6.
Eron LD. Effect of medical education on medical students’ attitudes. J Med Ed. 1955;30:559–66.
Ludmerer KM. Time to heal: American medical education from the turn of the century to the era of managed care. New York: Oxford University Press; 1999.
Roberts LW, Warner TD, Lyketsos C, et al. Perceptions of academic vulnerability associated with personal illness: a study of 1,027 students at nine medical schools. Collaborative Research Group on Medical Student Health. Compr Psychiatry. 2001;42:1–15.
Madill A, Latchford G. Identity change and the human dissection experience over the first year of medical training. Soc Sci Med. 2005;60:1637–47.
Reis DC. Who am I and why am I here? Professionalism research through the eyes of a medical student. Acad Med. 2008;83(10 Suppl):S111–2.
Daniels MJ. Affect and its control in the medical intern. Am J Sociol. 1960;16:259–61.
Zabarenko RN, Zabarenko LM. The doctor tree. Pittsburgh: University of Pittsburgh Press; 1978.
Gabbard GO, Roberts LW, Crisp-Han H. Professionalism in psychiatry. Washington, DC: American Psychiatric Publishing; 2012.
Murinson BB, Klick B, Haythornthwaite JA, et al. Formative experiences of emerging physicians: gauging the impact of events that occur during medical school. Acad Med. 2010;85:1331–7.
Cohen J. Linking professionalism to humanism: what it means, why it matters. Acad Med. 2007;82:1029–32.
Peabody FW. The care of the patient. JAMA. 1927;88:877–82.
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Lipsitt, D.R. Developmental Life of the Medical Student: Curriculum Considerations. Acad Psychiatry 39, 63–69 (2015). https://doi.org/10.1007/s40596-014-0182-z
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DOI: https://doi.org/10.1007/s40596-014-0182-z