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Related Experiment Videos

Using literature as the framework for a new course.

Désirée Lie1, Lloyd Rucker, Felicia Cohn

  • 1University of California, Irvine, College of Medicine, 92697, USA. dalie@uci.edu

Academic Medicine : Journal of the Association of American Medical Colleges
|November 15, 2002
PubMed
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The book "The Spirit Catches You and You Fall Down" effectively teaches medical students cultural diversity and patient communication. Faculty used the text to integrate ethics and professionalism into the Patient Doctor Society (PDS) course.

Area of Science:

  • Medical Education
  • Cultural Competency
  • Bioethics

Background:

  • The book "The Spirit Catches You and You Fall Down" explores cultural collisions impacting patient care.
  • It has been utilized to teach cultural diversity, ethics, and professionalism.

Purpose of the Study:

  • To describe the scope and context of using "The Spirit Catches You and You Fall Down" in a new Patient Doctor Society (PDS) course.
  • To meet specific course goals related to ethics, communication, and cultural diversity for medical students.

Main Methods:

  • The book was a required text for 184 first- and second-year medical students in a 90-hour PDS course.
  • Faculty development sessions provided strategies for integrating the text.
  • Chapter 13 was used for teaching end-of-life care beliefs and communication, employing role-plays and discussions.

Related Experiment Videos

  • Chapter 11 facilitated ethics discussions on moral diagnosis and ethical analysis.
  • Role-playing physician-patient dialogues illustrated communication pitfalls.
  • Medical humanities sessions compared book excerpts with poetry on physician humility and arrogance.

    • Main Results:

    • Students favorably reviewed the three-hour orientation session using "The Spirit Catches You and You Fall Down".
    • The text facilitated discussions on diverse ethical viewpoints and communication strategies.
    • Students engaged in identifying and discussing ethical issues and moral diagnoses.

    Conclusions:

    • "The Spirit Catches You and You Fall Down" provides a valuable context for teaching students to learn from patient stories.
    • The book will be reintroduced in the pediatrics clerkship with careful consideration to avoid overexposure and narrow interpretations.
    • Faculty will be trained to ensure effective use of the text, with plans to track longitudinal learning outcomes.