Development and introduction of a module on medical humanities for MBBS Interns: a pedagogical experiment

Manmeet Kaur Gill, Rahul Mannan, Neha Uppal, Sahiba Kukreja, Niket Verma, Jasmine Kaur

Abstract


Introduction: Loss of “empathy/ compassion” and “humanism” in undergraduate students and doctors is leading to poor patient care. The present medical curriculum has emphasis on following standardized medical “checklists” which is skewed towards treating “disease” and not “illness” (holistic approach towards both body and soul). This has led to increased patient doctor conflicts and poor patient care, which is increasingly being blamed on “burn out” for both physicians and medical students. Aim and Objectives: To develop a well-structured and validated module on medical humanities for MBBS interns and do a pilot run of the same on a group of volunteer interns to assess their knowledge and their perception regarding the same. Materials and Methods: The project was carried out at Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, comprising of 27 MBBS interns. Need assessment was done by three rounds of Delphi culminating in developing a validated and structured module on humanities. The pilot of the module was run. Pre and Post assessments were conducted. A Feedback was also taken from the students as well as the faculty in the form of questionnaire and Focused group discussion. Results: Overall there was an increase in knowledge about medical humanities and the module was well appreciated and received by the interns, core faculty and MEU observers. No one was dissatisfied by the module. Further suggestions recommended were to increase the duration of the module by 2-3 days, making it mandatory for MBBS and rest of the clinical staff of the hospital (faculty, residents and nurses) and inclusion of a forensic expert as a part of core faculty. Conclusion: The study resulted in formation of a structured and validated module on humanities.


Full Text:

PDF

References


Lewis BE. Narrative medicine and healthcare reform. J Med Humanit. 2011;32(1):9-20.doi: 10.1007/s10912-010-9123-3.

Gordon J. Medical humanities: to cure sometimes, to relieve often, to comfort always. Med J Aust. 2005;182 (1):5-8. doi:https://doi.org/10.5694 /j.1326- 5377. 2005. tb06543.x

Hood K, Jacobson L, Houston H. Medicine and self-image in literature. Lancet. 2002;359(9310):981. doi:10.1016/S0140-6736(02)08008-X

Charon R. Narrative and medicine. N Engl J Med. 2004;350(9):862-864. doi:10.1056/NEJMp038249

Batistatou A, Doulis EA, Tiniakos D, Anogiannaki A, Charalabopoulos K. The introduction of medical humanities in the undergraduate curriculum of Greek medical schools: challenge and necessity. Hippokratia. 2010;14 (4):241-243.

Bleakley A, Farrow R, Gould D, Marshall R. Making sense of clinical reasoning: judgement and the evidence of the senses. Med Educ. 2003;37(6):544-552. doi: https://doi.org/10.1046/j.1365-2923.2003.01542.x

Crawford JM. Evidence-based interpretation of liver biopsies. Lab Invest. 2006;86(4):326-334. doi:10.1038/ labinvest.3700403

Boisaubin EV, Winkler MG. Seeing patients and life contexts: the visual arts in medical education. Am J Med Sci. 2000;319(5):292-296. doi:10.1097/00000441-200005000-00005

Oyebode F, Pourgourides C. Literature and medicine. Lancet. 1996;348(9031):894. doi:10.1016/S0140-6736 (05) 64766-6

Batistatou A, Charalabopoulos K. The picture of Oscar X. Nature. 2008; 455(7214):834. doi: 10.1038/ 455834a.

Bolton G. Literature and medicine. Lancet. 2001;357(9266):1441-1442. doi:10.1016/S0140-6736(00)04583-9

McLellan MF. Literature and medicine: physician-writers. Lancet. 1997;349(9051):564-567. doi:10.1016/ S0140- 6736(97)80120-1

McLellan MF, Jones AH. Why literature and medicine? Lancet. 1996;348 (9020):109-11. doi:10. 1016/ s0140-6736(96)03521-0

Mahajan R, Goyal PK, Sidhu TK, Kaur U, Kaur S, Gupta V. Module for Interns in Medical Ethics: A Developmental Diegesis. Int J Appl Basic Med Res. 2017;7(Suppl 1):S52-S56. doi: 10.4103/ ijabmr. IJABMR_170_17.

Rameshkumar K. Ethics in medical curriculum; Ethics by the teachers for students and society. Indian J Urol. 2009; 25(3):337-339. doi: 10.4103/ 0970-1591. 56192.

Ahsin S, Shahid A, Gondal GM. Teaching communication skills and medical ethics to undergraduate medical student. JAdvan Med Edu Prof. 2013;1(3):72-76.

Shapiro J, Rucker L. Can poetry make better doctors? Teaching the humanities and arts to medical students and residents at the University of California, Irvine, College of Medicine. Acad Med. 2003;78 (10):953-957.


Refbacks

  • There are currently no refbacks.