Recent calls to focus on identity formation in medicine propose that educators establish as a goal of medical education the support and guidance students residents they develop their professional identity. Those entering school arrive with personal formed since birth. As proceed through educational continuum, successively student, resident, physician. Each individual's journey from layperson skilled is unique affected by "who are" at beginning wish become."Identity dynamic process achieved...

Faculty development includes those activities that are designed to renew or assist faculty in their different roles. As such, it encompasses a wide variety of interventions help individual members improve skills. However, can also be used as tool engage the process institutional change. The Medicine at McGill University determined such change was necessary effectively teach and evaluate professionalism undergraduate level, program on helped bring about desired curricular authors describe...

Abstract Phronesis is often described as a ‘practical wisdom’ adapted to the matters of everyday human life. enables one judge what at stake in situation and means are required bring about good outcome. In medicine, phronesis tends be called upon deal with ethical issues offer critique clinical practice straightforward instrumental application scientific knowledge. There is, however, paucity empirical studies phronesis, including medicine. Using hermeneutic phenomenological approach, this...

Over the last decade, there has been a drive to emphasize professional identity formation in medical education. This shift had important and positive implications for education of physicians. However, increasing recognition longstanding structural inequalities within society profession highlighted how conceptualizations have also unintended harmful consequences. These include experiences threat exclusion, promotion norms values that over-emphasize preferences culturally dominant groups. In...

The banner of patient-centredness flies over many academic institutions; however, the practice and teaching medicine remain oriented to disease. This incongruence is result an original Flexnerian dichotomy between basic clinical sciences maintained by a more recent distinction disease illness. One mind-set emphasises science pathology pedagogically, whilst becomes search for second introduces patient as focal point, underlining personal social contexts illness.We must orient ourselves single...

The ability to listen is critically important many human endeavors and the object of scholarly inquiry by a large variety disciplines. While characteristics active listening skills in clinical practice have been elucidated previously, cohesive set principles frame teaching these at undergraduate medical level has not described.The purpose this study was identify that underlie students. We term capacity, attentive listening.The authors relied extensively on prior work clarified how language...

A four-year course, entitled Physician Apprenticeship, was introduced at McGill University's Faculty of Medicine in 2005. The primary objective the course is to assist students their transition from laymen physicians. goal this study understand apprenticeship learning process, particularly its contribution professional identity formation.For data collection, authors used a longitudinal case design with mixed methods. They conducted over curricular cycle, 2008-2009 2011-2012. consisted three...

Purpose A fundamental goal of medical education is supporting learners in forming a professional identity. While it known that perceive clinical teachers to be critically important this process, the latter’s perspective unknown. This study sought understand how their influence on identity formation learners. Method In 2017, research assistant conducted 16 semistructured interviews from 8 specialties at McGill University. The audiorecorded and subsequently transcribed for analysis. Following...

As part of a renewed focus on the physician as healer and professional at McGill University, faculty members were recruited to teach in four-year, longitudinal doctoring course called Physician Apprenticeship. The goal this study was examine impact experience accompanying development program teachers, known Osler Fellows.An interviewer conducted semistructured interviews with 23 clinicians understand their experiences Fellows ascertain views how workshop-based program, designed mirror...

Purpose To elucidate the perspectives of patients on conceptual framework for a new undergraduate medical curriculum organized around healer and professional roles physician (their physicianship), to illustrate how these can affect program development. Method In 2006, using an adapted interpretive description design semistructured interviews, authors collected data from sample 58 receiving care in major academic center. Results Three findings were particularly salient. (1) The concepts as...

Background: Observation is a fundamental skill for physicians and it has been the subject of resurgent interest. Although strategies teaching observation have described previously, many them linked conceptually to emerging insights in visual literacy aesthetic development, principles clinical not elucidated.

Although he did not write extensively about professionalism, Abraham Flexner clearly understood its critical role in medical practice. In discerning the basics of education characterized scientific methodology as instrumental minimum. He left open to future generations task defining necessary complement, "noble behaviors and fine feelings" required practitioner. Situated within current professionalism movement, informed by previous commentary on enduring attributes medicine, a curriculum...

Although the practice of medicine continually changes in response to new biomedical understanding, novel technologies, and evolving cultural contexts, ethical foundations clinical relationship between patient physician paradoxically remain constant. There are fundamental characteristics with respect character, behavior, responsibilities that descriptive necessary role healer underpin notion physicianship. This article discusses underlying or virtues from perspectives three different...

Translation issues emerged from a qualitative study, conducted in French and English, that gathered patient perspectives on newly implemented undergraduate medical curriculum entitled Physicianship: The Physician as Professional Healer. French-speaking participants were interviewed using translated interview guide, originally developed English. A major finding francophone contested the idea of physician-healer manner not witnessed among anglophone participants. Consultation with multilingual...

Abstract Background Mentoring medical students with varied backgrounds and individual needs can be challenging. Mentors’ satisfaction is likely to important for the quality sustainability of mentorships, especially in programs where mentor has responsibility facilitating a group mentees. However, little known about what influences mentors’ satisfaction. The aim this study was measure self-reported mentoring experience explore associations between its putative factors. Methods An online...

Contemporary medicine is characterized by dualities. They include psyche and soma, subject object, and, most important, science humanism. The authors, in exploring Flexner's landmark publication, suggest that the history of curricular evolution has been marked a quest for integration two knowledge bases: clinical medicine. describe this goal as preoccupation medical educators, arguing it was triggered, part, recommendation two-phase curriculum. Their claim illustrated with an analysis...

Abstract Rationale, aims and objectives Based on input from 400 stakeholders over 6 years, the 2011 P rogram E valuation S tandards represents an in‐depth analysis of values, meaning measurement their relationships in programme evaluation. Evaluation quality is achieved by balancing five attributes: utility, feasibility, propriety, accuracy evaluation accountability. These attributes are used to organize 30 standards, 200 strategies 197 hazards. Method In response a call authors we have them...

To explore first-year medical students' affective reactions to intimate encounters with severely sick patients in their homes, within a curricular innovation targeting the development of patient-centered professional identity.Early patient create complex emotional challenges and constitute fertile ground for identity formation. The literature indicates that students often learn, largely through hidden curriculum, avoid suppress emotion. This can culminate mental health problems loss...

George Engel’s (1913–1999) biopsychosocial model, one of the most significant proposals for renewal medicine in latter half 20th century, has been understood primarily as a multi-factorial approach to etiology disease and call re-humanize clinical practice. This common reading model misses central aspect his proposal, that is an epistemology work. By stating simple fact clinician not dealing directly with body, but first, inevitably, person, Engel challenged implicit classical method—a...