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      Reflective thinking and medical students: some thoughtful distillations regarding John Dewey and Hannah Arendt

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      Philosophy, Ethics, and Humanities in Medicine : PEHM
      BioMed Central

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          Abstract

          Reflective thought (critical thinking) is essential to the medical student who hopes to become an effective physician. John Dewey, one of America's foremost educators in the early twentieth century, revolutionized critical thinking and its role in education. In the mid twentieth century Hannah Arendt provided profound insights into the problem of diminishing human agency and political freedom. Taken together, Dewey's insight regarding reflective thought, and Arendt's view of action, speech, and power in the public realm, provide mentors and teachers of medical students guidance in the training of thought and the need for its effective projection at the patient's bedside and in the community.

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          Most cited references36

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          Medical professionalism in the new millennium: a physician charter.

          , , (2015)
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            Comparing problem-based learning with case-based learning: effects of a major curricular shift at two institutions.

            Problem-based learning (PBL) is now used at many medical schools to promote lifelong learning, open inquiry, teamwork, and critical thinking. PBL has not been compared with other forms of discussion-based small-group learning. Case-based learning (CBL) uses a guided inquiry method and provides more structure during small-group sessions. In this study, we compared faculty and medical students' perceptions of traditional PBL with CBL after a curricular shift at two institutions. Over periods of three years, the medical schools at the University of California, Los Angeles (UCLA) and the University of California, Davis (UCD) changed first-, second-, and third-year Doctoring courses from PBL to CBL formats. Ten months after the shift (2001 at UCLA and 2004 at UCD), students and faculty who had participated in both curricula completed a 24-item questionnaire about their PBL and CBL perceptions and the perceived advantages of each format A total of 286 students (86%-97%) and 31 faculty (92%-100%) completed questionnaires. CBL was preferred by students (255; 89%) and faculty (26; 84%) across schools and learner levels. The few students preferring PBL (11%) felt it encouraged self-directed learning (26%) and valued its greater opportunities for participation (32%). From logistic regression, students preferred CBL because of fewer unfocused tangents (59%, odds ration [OR] 4.10, P = .01), less busy-work (80%, OR 3.97, P = .01), and more opportunities for clinical skills application (52%, OR 25.6, P = .002). Learners and faculty at two major academic medical centers overwhelmingly preferred CBL (guided inquiry) over PBL (open inquiry). Given the dense medical curriculum and need for efficient use of student and faculty time, CBL offers an alternative model to traditional PBL small-group teaching. This study could not assess which method produces better practicing physicians.
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                Author and article information

                Journal
                Philos Ethics Humanit Med
                Philosophy, Ethics, and Humanities in Medicine : PEHM
                BioMed Central
                1747-5341
                2009
                16 April 2009
                : 4
                : 5
                Affiliations
                [1 ]University of Toledo College of Medicine, Department of Anesthesiology, 3000 Arlington Avenue, Toledo, Ohio 43614, USA
                [2 ]University of Michigan, School of Medicine, Department of Anesthesiology, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA
                Article
                1747-5341-4-5
                10.1186/1747-5341-4-5
                2674470
                19368737
                aa8ea6ef-8409-4fbb-b3b2-fb70669ffd3f
                Copyright © 2009 Papadimos; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 7 October 2008
                : 16 April 2009
                Categories
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                Philosophy of science
                Philosophy of science

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