Utilizing interviews with students and a key administrator, analyses of academic schedules, and observations of courses, labs, and small groups, this study examines if and how elements of the explicit preclinical curriculum may have deleterious effects on medical students’ humanitarian attributes, namely empathy. Findings from this case-study of a medical school in the United States suggest that the lack of frequent formal testing in the psycho-social aspects of patient care during the preclinical years, as well as a general reduction in curriculum hours devoted to teaching the social aspects of medicine, may serve as mechanisms behind the diminution of medical students’ levels of empathy and other positive attributes as found by previous research. Following the basic tenets of the Testing Effect and the assumption that assessment drives learning, it is argued that a feasible way to maintain and potentially cultivate these traits among medical students, without saturating an overwhelmed medical curriculum, would be to install periodic, formally graded exams into preclinical curriculums that evaluate empathy and the psycho-social aspects of care.
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County SOM, County University, and all names presented in this work are pseudonyms.
The alterations and new emphases of the curriculum will be explained in the pages to follow.
The argument presented in this paper does not state that current curriculum of County SOM, or other medical education institutions, is wrong or lacking, it is understood that clinical knowledge is imperative. Rather, this argument focuses on the structure of assessment of students’ skills as it currently exists in formal medical education.
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The author would like to thank all students, faculty, and staff at County SOM for their participation in this study.
Conflict of interests
The author declared no conflicts of interest with respect to the authorship and/or publication of this article.
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Michalec, B. Learning to cure, but learning to care?. Adv in Health Sci Educ 16, 109–130 (2011). https://doi.org/10.1007/s10459-010-9249-0
- Medical education
- Explicit curriculum
- Preclinical students
- Psycho-social issues