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Dialogues on the Threshold: Dialogical Learning for Humanism and Justice
Arno K Kumagai1, Lisa Richardson, Sarah Khan
1A.K. Kumagai is professor and vice chair for education, University of Toronto Faculty of Medicine, Department of Medicine, and researcher, Wilson Centre. He holds the F.M. Hill Chair in Humanism Education, Women's College Hospital and University of Toronto, Toronto, Ontario, Canada. L. Richardson is assistant professor and faculty co-lead in person-centred care, University of Toronto Faculty of Medicine, Department of Medicine, and researcher and Indigenous Health Scholar, Wilson Centre, University of Toronto, Toronto, Ontario, Canada. S. Khan is a third-year resident in medicine, University of Toronto Faculty of Medicine, Department of Medicine, Toronto, Ontario, Canada. A. Kuper is associate professor of medicine and faculty co-lead in person-centred care, University of Toronto Faculty of Medicine, Department of Medicine, scientist and associate director, Wilson Centre for Research in Education, University Health Network, University of Toronto, and staff physician, Division of General Internal Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Clinician teachers can foster humanism and justice by using dialogue, a communication style that enhances understanding and promotes reflective practice. This approach shifts the teacher-learner dynamic towards shared authority for better physician education.
Area of Science:
- Medical Education
- Clinical Communication
- Professional Identity Development
Background:
- Clinician teachers face pressures from increased demands and reduced hours.
- There's a need to teach humanism and justice effectively within clinical settings.
- Current teaching methods may not fully address the human dimensions of medicine.
Purpose of the Study:
- To propose and explore the use of dialogue as a pedagogical tool in clinical education.
- To demonstrate how dialogue can stimulate reflection on the human aspects of patient care.
- To reorient the teacher-learner relationship towards a more collaborative model.
Main Methods:
- Analysis of implicit communication styles in clinical conversations.
- Exploration of dialogue as a method for enhancing understanding and reflection.
- Conceptualizing dialogue's role in professional identity formation.
Main Results:
- Dialogue is identified as a communication style uniquely suited for teaching humanism and justice.
- Dialogue fosters enhanced understanding, new questions, and potential solutions.
- It encourages a shift from top-down instruction to open exchange and shared responsibility.
Conclusions:
- Dialogical teaching can transform clinical education by integrating reflective practice with goal-oriented learning.
- This approach aims to cultivate physicians who embody excellence, compassion, and justice.
- Clinical education can be enhanced by intentionally incorporating dialogical moments.
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