Teaching in Relationship: The Impact on Faculty of Teaching “The Healer's Art”

Rabow, Michael W.; Newman, Maya; Remen, Rachel Naomi

doi:10.1080/10401334.2014.883982

Cited by 22 publications

(15 citation statements)

References 22 publications

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“…Because it highlighted discordances between individual physicians’ goals to build therapeutic relationships with their patients, and prevailing system barriers and bureaucratic requirements, the study suggests the need for transforming organizational culture to make it more sustaining of humanistic practice. Strategies to reinforce the humanistic and relational aspects of care and their alignment with an organization’s values 12 , 23 , 27 , 38 , 39 , 41 , 42 , 44 – 46 are needed if an organizational culture of humanism is to flourish. 43 , 47 – 49 …”

Section: Discussionmentioning

confidence: 99%

Healthcare at the Crossroads: The Need to Shape an Organizational Culture of Humanistic Teaching and Practice

et al. 2018

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BackgroundChanges in the organization of medical practice have impeded humanistic practice and resulted in widespread physician burnout and dissatisfaction.ObjectiveTo identify organizational factors that promote or inhibit humanistic practice of medicine by faculty physicians.DesignFrom January 1, 2015, through December 31, 2016, faculty from eight US medical schools were asked to write reflectively on two open-ended questions regarding institutional-level motivators and impediments to humanistic practice and teaching within their organizations.ParticipantsSixty eight of the 92 (74%) study participants who received the survey provided written responses. All subjects who were sent the survey had participated in a year-long small-group faculty development program to enhance humanistic practice and teaching. As humanistic leaders, subjects should have insights into motivating and inhibiting factors.ApproachParticipants’ responses were analyzed using the constant comparative method.Key ResultsMotivators included an organizational culture that enhances humanism, which we judged to be the overarching theme. Related themes included leadership supportive of humanistic practice, responsibility to role model humanism, organized activities that promote humanism, and practice structures that facilitate humanism. Impediments included top down organizational culture that inhibits humanism, along with related themes of non-supportive leadership, time and bureaucratic pressures, and non-facilitative practice structures.ConclusionsWhile healthcare has evolved rapidly, efforts to counteract the negative effects of changes in organizational and practice environments have largely focused on cultivating humanistic attributes in individuals. Our findings suggest that change at the organizational level is at least equally important. Physicians in our study described the characteristics of an organizational culture that supports and embraces humanism. We offer suggestions for organizational change that keep humanistic and compassionate patient care as its central focus.Electronic supplementary materialThe online version of this article (10.1007/s11606-018-4470-2) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Healthcare at the Crossroads: The Need to Shape an Organizational Culture of Humanistic Teaching and Practice

et al. 2018

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“…Recent research has also begun to assess the benefits medical school faculty accrue from facilitating the learning of students, especially in small group courses dedicated to fostering student professional formation. 18 – 20 Further studies should consider to what extent interventions to address medical student cynicism may help decrease faculty cynicism about students and help guard against erosion of altruism among the faculty.…”

Section: Discussionmentioning

confidence: 99%

Journeying to the White Coat Ceremony: A description of the people, situations and experiences that inform student visions of the physician they hope to become

Brown

Donaldson

Warne-Griggs

et al. 2017

Journal of Medical Education and Curricular Development

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Little is known about the experiences that influence entering medical students’ internal concepts of themselves as future physicians. During orientation to medical school, students were asked to write stories in response to the cue, “Tell a story about a person or experience that inspired you to consider a career of service in medicine.” Qualitative methodology was employed to analyze 190 student stories. Thematic analysis identified descriptive details about content and allowed comparison between the students’ and School’s expectations. Inspirational settings, contexts, and individuals were identified. Nine different inspirational events were described. Student and School expectations for the kinds of physicians they hoped to become were generally consistent. The study demonstrates that students do indeed bring to medical school visions of the kinds of physicians they hope to become. Linking that vision with medical school activities including the White Coat Ceremony provides a bridge between medical school and students’ earlier lives, thus explicitly linking orientation to professional formation.

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“…We suggest an increase in communication between the university and medical students to help us through this difficult time. Moreover we advocate for the implementation of a 'relationship-centered education' with holistic humane teaching that is carried out in a dignified, respectful and inclusive learning environment (Rabow, Newman and Remen, 2014).…”

Section: Mental Well-being Of Students and Role Of Educatorsmentioning

confidence: 99%

Disruption of the medical curriculum in a developing country: The need for medical students to be stronger than ever

Mowlabaccus¹

2020

MedEdPublish

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Being a medical student from a low to moderate income country comes with its challenges particularly in moments where the world is facing with an uncharted territory; the COVID-19 pandemic. With no face to face interactions with lecturers, halt of clinical postings and uncertainty of when exams will be held, final year medical students are facing an unprecedented situation. Being a final year student, this personal view is aimed at describing the current situation of medical students in Mauritius, the numerous challenges that are being encountered and the coping strategies being adopted.

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Teaching in Relationship: The Impact on Faculty of Teaching “The Healer's Art”

Abstract: Healer's Art faculty report personal and professional benefits, as well as increased commitment to teaching and to a relationship-centered educational process.

Cited by 22 publications

References 22 publications

Healthcare at the Crossroads: The Need to Shape an Organizational Culture of Humanistic Teaching and Practice

Healthcare at the Crossroads: The Need to Shape an Organizational Culture of Humanistic Teaching and Practice

Journeying to the White Coat Ceremony: A description of the people, situations and experiences that inform student visions of the physician they hope to become

Disruption of the medical curriculum in a developing country: The need for medical students to be stronger than ever

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