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Epistemology, culture, justice and power: non-bioscientific knowledge for medical training.
- Source :
- Medical Education; Feb2017, Vol. 51 Issue 2, p158-173, 16p, 1 Diagram, 4 Charts
- Publication Year :
- 2017
-
Abstract
- Context While medical curricula were traditionally almost entirely comprised of bioscientific knowledge, widely accepted competency frameworks now make clear that physicians must be competent in far more than biomedical knowledge and technical skills. For example, of the influential CanMEDS roles, six are conceptually based in the social sciences and humanities (SSH). Educators frequently express uncertainty about what to teach in this area. This study concretely identifies the knowledge beyond bioscience needed to support the training of physicians competent in the six non-Medical Expert CanMEDS roles. Methods We interviewed 58 non-clinician university faculty members with doctorates in over 20 SSH disciplines. We abstracted our transcripts (meaning condensation, direct quotations) resulting in approximately 300 pages of data which we coded using top-down (by CanMEDS role) and bottom-up (thematically) approaches and analysed within a critical constructivist framework. Participants and clinicians with SSH PhDs member-checked and refined our results. Results Twelve interrelated themes were evident in the data. An understanding of epistemology, including the constructed nature of social knowledge, was seen as the foundational theme without which the others could not be taught or understood. Our findings highlighted three anchoring themes ( Justice, Power, Culture), all of which link to eight more specific themes concerning future physicians' relationships to the world and the self. All 12 themes were cross-cutting, in that each related to all six non-Medical Expert CanMEDS roles. The data also provided many concrete examples of potential curricular content. Conclusions There is a definable body of SSH knowledge that forms the academic underpinning for important physician competencies and is outside the experience of most medical educators. Curricular change incorporating such content is necessary if we are to strengthen the non-Medical Expert physician competencies. Our findings, particularly our cross-cutting themes, also provide a pedagogically useful mechanism for holistically teaching the underpinnings of physician competence. We are now implementing our findings into medical curricula. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL school curriculum
PHYSICIAN training
CURRICULUM frameworks
YOUNG adults
ADULTS
HIGHER education
PROFESSIONAL education
SOCIAL sciences
HUMANITIES
POWER (Social sciences)
CULTURE
CONCEPTUAL structures
INTELLECT
INTERVIEWING
MATHEMATICAL models
RESEARCH methodology
STUDY & teaching of medicine
STATISTICAL sampling
SOCIAL justice
QUALITATIVE research
THEORY
JUDGMENT sampling
THEMATIC analysis
COLLEGE teacher attitudes
SELF-consciousness (Awareness)
Subjects
Details
- Language :
- English
- ISSN :
- 03080110
- Volume :
- 51
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Medical Education
- Publication Type :
- Academic Journal
- Accession number :
- 120689577
- Full Text :
- https://doi.org/10.1111/medu.13115