The “ER” Seminar
- 73 Downloads
The challenge of teaching good communication skills and psychotherapy to medical students was addressed through development of a clerkship seminar that stressed the practical application of psychotherapeutic techniques to the difficult and/or psychiatric patient. Clinical vignettes from television programs such as “ER” were used to illustrate encounters with extremely emotional or personality-disordered patients. Students also examined the dynamic meaning of these encounters, their own countertransference, and their ability to tolerate emotional interchanges with such patients. In addition, the vignettes were used to examine and apply Buckman’s model for breaking bad news to patients who have undergone a significant loss. Seventy-two third-year medical students participated and completed pre- and post-seminar questionnaires to assess their knowledge and attitudes toward psychotherapeutic techniques. Students significantly improved in knowledge of countertransference, boundary setting, and how to break bad news. Attitudes toward breaking bad news and recognizing strong countertransference also improved. Some differences in post-seminar knowledge and attitudes were found between male and female students.
KeywordsMedical Student Academic Psychiatry Clinical Vignette Psychiatry Clerkship Clerkship Director
Unable to display preview. Download preview PDF.
- 2.Brodkey AC, Van Zant K, Sierles FS: Educational objectives for a junior psychiatry clerkship: development and rationale. Academic Psychiatry 1997; 21: 179–204Google Scholar
- 4.Gabbard GO, Gabbard K: Psychiatry and the Cinema, 2nd edition. Washington, DC, American Psychiatric Press, 1999Google Scholar
- 7.Rabkin LY: The Celluloid Couch: An Annotated International Filmography of the Mental Health Professional in the Movies and Television, From the Beginning to 1990. Lanham, MD, Scarecrow Press, 1998Google Scholar
- 15.Hyler SE, Moore J: Teaching psychiatry? Let Hollywood help! Suicide in the cinema. Academic Psychiatry 1966; 20: 212–219Google Scholar
- 17.Wedding D, Boyd MA: Movies and Mental Illness: Using Films to Understand Psychopathology. New York, McGraw-Hill College, 1999Google Scholar
- 19.Hensley JW, Hensley JG: Rent Two Films and Let’s Talk in the Morning: Using Popular Movies in Psychotherapy. New York, Wiley, 1998Google Scholar
- 20.Young DM: Personality disorders in cinema: a teaching tool for medical students. Presented at the 25th Annual ADMSEP Meeting, June 14, 1999Google Scholar
- 21.Levine R, Wolf D, Bryant S: The use of popular cinema in a psychiatry clerkship. Plenary presentation, 25th Annual ADMSEP Meeting, June 1999Google Scholar
- 24.Shapiro S: Course in therapeutic communication teaches medical students to listen. J Can Med Assoc 1992; 1230–1233Google Scholar
- 28.Buckman R: How to Break Bad News: A Guide for Health Professionals. Baltimore, The Johns Hopkins University Press, 1992Google Scholar