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One year's experience with a program to facilitate personal and professional development in medical students using
L P Pololi1, R M Frankel, M Clay
1National Center of Leadership in Academic Medicine, Brody School of Medicine, East Carolina University, Greenville, 27858-4354, USA. pololil@mail.ecu.edu
Medical students learned to manage early clinical stress through a primary care experience. Reflection Groups helped them address physician roles, death, and racial issues, fostering self-awareness and integrating sociobehavioral science.
Area of Science:
- Medical Education
- Sociobehavioral Science
- Primary Care
Background:
- Integrating sociobehavioral science into medical curricula is crucial for holistic physician development.
- Early clinical experiences present unique stressors for medical students.
- Fostering self-awareness and emotional development is essential for navigating these challenges.
Purpose of the Study:
- To integrate sociobehavioral science concepts into the early medical curriculum via a primary care clinical experience.
- To create a learning environment that nurtures self-awareness and emotional development amidst early clinical stress.
Main Methods:
- Second-year medical students participated in bi-monthly ambulatory care experiences in primary care settings.
- Students maintained reflective journals detailing their clinical encounters and experiences.
- Bi-weekly "Reflection Groups" facilitated discussions on personal awareness and empathic witnessing, analyzing journal entries and field notes for identified stressors.
Main Results:
- Key stressors identified included physician role/responsibility, death and dying, and racial issues.
- Reflection Groups enabled students to articulate stressors, reduce feelings of isolation, and initiate self-awareness development.
- The program successfully facilitated the integration of sociobehavioral science concepts into clinical practice.
Conclusions:
- A structured early clinical experience with facilitated reflection effectively addresses the emotional challenges of medical training.
- This approach supports the development of self-aware, empathic physicians equipped to handle complex patient and professional issues.
- Integrating sociobehavioral science early in medical education enhances students' ability to cope with and learn from clinical stressors.
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