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      Using movies to teach professionalism to medical students

      research-article
      1 , 2 , , 1 , 2
      BMC Medical Education
      BioMed Central

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          Abstract

          Background

          Professionalism topics are usually not covered as a separate lesson within formal curriculum, but in subtler and less officially recognized educational activities, which makes them difficult to teach and assess. Interactive methods (e.g. movies) could be efficient teaching methods but are rarely studied. The aims of this study were: 1) to test the relevance and usefulness of movies in teaching professionalism to fourth year medical students and, 2) to assess the impact of this teaching method on students' attitudes towards some professionalism topics.

          Method

          This was an education study with qualitative data analysis in a group of eleven fourth year medical students from the Medical School of University Maribor who attended an elective four month course on professionalism. There were 8 (66.7%) female students in the group. The mean age of the students was 21.9 ± 0.9 years. The authors used students' written reports and oral presentations as the basis for qualitative analysis using thematic codes.

          Results

          Students recognised the following dimensions in the movie: communication, empathy, doctors' personal interests and palliative care. It also made them think about their attitudes towards life, death and dying.

          Conclusions

          The controlled environment of movies successfully enables students to explore their values, beliefs, and attitudes towards features of professionalism without feeling that their personal integrity had been threatened. Interactive teaching methods could become an indispensible aid in teaching professionalism to new generations.

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          Most cited references16

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          Learning health professionalism at Makerere University: an exploratory study amongst undergraduate students

          Background Anecdotal evidence shows that unprofessional conduct is becoming a common occurrence amongst health workers in Uganda. The development of appropriate professional values, attitudes and behaviors is a continuum that starts when a student joins a health professional training institution and as such health professionals in training need to be exposed to the essence of professionalism. We sought to explore undergraduate health professions students' perceptions and experiences of learning professionalism as a preliminary step in addressing the problem of unprofessional conduct amongst health workers in Uganda. Methods Eight focus group discussions were conducted with 49 first to fifth year health professions undergraduate students of the 2008/2009 academic year at Makerere University College of Health Sciences. The focus group discussions were recorded and transcribed, and were analyzed using content analysis with emergent coding. Results The difference in the way first and fifth year students of Makerere University College of Health Sciences conceptualized professionalism was suggestive of the decline in attitude that occurs during medical education. The formal curriculum was described as being inadequate while the hidden and informal curricula were found to play a critical role in learning professionalism. Students identified role models as being essential to the development of professionalism and emphasized the need for appropriate role modeling. In our setting, resource constraints present an important, additional challenge to learning universal standards of health professionalism. Furthermore, students described practices that reflect the cultural concept of communalism, which conflicts with the universally accepted standard of individual medical confidentiality. The students questioned the universal applicability of internationally accepted standards of professionalism. Conclusions The findings call for a review of the formal professionalism curriculum at Makerere University College of Health Sciences to make it more comprehensive and to meet the needs expressed by the students. Role models need capacity building in professionalism as health professionals and as educators. In our setting, resource constraints present an additional challenge to learning universal standards of health professionalism. There is need for further research and discourse on education in health professionalism in the Sub-Saharan context of resource constraints and cultural challenges.
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            Using movie clips to foster learners' reflection: improving education in the affective domain.

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              Empathy, humanism, and the professionalization process of medical education.

              This study sought to identify the common stages in the development of capacities contributing to humanistic medical care in young physicians, as revealed by their dreams about medical school and training. Using a databank of approximately 400 dreams dreamt by non-patient students and housestaff at a major academic medical center, the author traces the development of the two components of humanistic medicine: empathy and humanistic attitudes. The "critical episodes" of medical education produce in young physicians emotional and psychological defenses affecting their ability to interact with patients in an empathic and altruistic manner. Medical educators need to reevaluate the traditional curricular milestones and pedagogic style to help foster the development of medical humanism.
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                Author and article information

                Journal
                BMC Med Educ
                BMC Medical Education
                BioMed Central
                1472-6920
                2011
                23 August 2011
                : 11
                : 60
                Affiliations
                [1 ]Department of Family Medicine, Medical School, University of Maribor, Slomskov trg 15, 2000 Maribor, Slovenia
                [2 ]Department of Family Medicine, Medical School, University of Ljubljana, Poljanski nasip 58, 1000 Ljubljana, Slovenia
                Article
                1472-6920-11-60
                10.1186/1472-6920-11-60
                3180297
                21861900
                d922331d-3277-4326-aafe-df5ab07c2b44
                Copyright ©2011 Klemenc-Ketis and Kersnik; 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
                : 13 April 2011
                : 23 August 2011
                Categories
                Research Article

                Education
                Education

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