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Development of a Medical Humanities and Ethics Certificate Program in Texas

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Abstract

Education in the medical humanities and ethics is an integral part of the formation of future physicians. This article reports on an innovative approach to incorporating the medical humanities and ethics into the four-year curriculum in a Certificate Program spanning all four years of the medical school experience. The faculty of the McGovern Center for Humanities and Ethics at the University of Texas Medical School at Houston conceived and implemented this program to teach medical students a range of scholarly topics in the medical humanities and to engage the full human experience into the process of becoming a physician. This study follows six years of experience, and we report student experiences and learning in their own words.

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References

  • Accreditation Council for Graduate Medical Education (ACGME). 2012. Professionalism Resolution. (http://www.dconnect.acgme.org/acWebsite/home/ACGMEBODResolutionAdopted.pdf)

  • Belling, C. 2010. "Sharper Instruments: On Defending the Humanities in Undergraduate Medical Education." Academic Medicine 85(6): 38-940.

    Article  Google Scholar 

  • Bellini, L. and J. Shea. 2005. "Mood Change and Empathy Decline Persist during Three Years of Internal Medicine Training." Academic Medicine 80(2): 164–167.

    Article  Google Scholar 

  • Cohen, J. J. 2007. "Linking Professionalism to Humanism: What it Means, Why it Matters." Academic Medicine 82(11): 1029–1032.

    Article  Google Scholar 

  • Cooke, M., D. M. Irby, B. C. O'Brien, and L. S. Shulman (2010). Educating Physicians: A Call for Reform of Medical School and Residency. (http://www.carnegiefoundation.org/newsroom/press-releases/educating-physicians-call-reform-medical-school-and-residency)

  • Coulehan, J. and P. Williams. 2001. "Vanquishing Virtue: The Impact of Medical Education." Academic Medicine 76: 598–605.

    Article  Google Scholar 

  • Doukas, DJ, McCulloug, L., Wear, D. 2010. "Reforming Medical Education in Ethics and Humanities by Finding Common Ground with Abraham Flexner." Academic Medicine 85(2): 318–323.

    Article  Google Scholar 

  • Einstein, Albert and Alice Calaprice. 2011. "On Education, Students, and Academic Freedom." In The Ultimate Quotable Einstein, edited by Freemon Dyson, 97–110. Princeton, NJ, Princeton University Press.

    Google Scholar 

  • Graves, L. 2008. "Teaching the Wounded Healer." Medical Teaching 30(2): 217–219.

    Article  Google Scholar 

  • Hafferty, F. W. (2006). "Professionalism - The Next Wave." New England Journal of Medicine 355(20): 2151–2152.

    Article  Google Scholar 

  • Haidet, P., Hatem, DS, Fecile, ML, Stein, HF, Haley, H, Kimmel, B. 2008. "The Role of Relationships in the Professional Formation of Physicians: Case Report and Illustration of an Elicitation Technique." Patient Education and Counseling 72(3): 382–387.

    Article  Google Scholar 

  • Holden, M., Buck, E, Clark, M, Szauter, K, Trumble, J. 2012. "Professional Identity Formation in Medical Education: The Convergence of Multiple Domains." HEC Forum 24: 245–255.

    Article  Google Scholar 

  • Kaufman, W. 1978. "Is There a Kind of Knowledge Available Only Through Humanistic Studies?" In The Humanities and Public Life, edited by W. L. Blizer, 19–32. London, Pied Publications.

    Google Scholar 

  • Lama, D. 1998. The Art of Happiness. New York, NY, Riverhead Books.

    Google Scholar 

  • Malina, B. 1978. "What are the Humanities: A Perspective for the Scientific American." In The Humanities and Public Life, edited by W. L. Blizer, 33–47. London, Pied Publications.

    Google Scholar 

  • Monrouxe, L., Rees, C, Hu, W. 2011. "Differences in Medical Students' Explicit Discourses of Professionalism: Acting, Representing, Becoming." Medical Education 45: 585–602.

    Article  Google Scholar 

  • Ngaire, K., Buetow, S, Mainous, A, Young, G, Coster, G, Arroll, B. 2004. "Physician-Patient Relationship and Medical Compliance: a Primary Care Investigation." Annals of Family Medicine 2(5): 455–461.

    Article  Google Scholar 

  • Niemi, P. 1997. "Medical Students' Professional Identity: Self-Reflection during the Preclinical Years." Medical Education 31: 408–415.

    Article  Google Scholar 

  • Petrarch, Francesco. 1948. "Ascent of Mont Ventoux." In The Rennaissance Philosophy of Man: Petrarca, Valla, Ficino, Pico, Pomponazzi, Vives, edited by E. Kassirer, P. O. Kristeller and J. H. J. Randall, 36–47. Chicago, Ill, University of Chicago Press.

    Google Scholar 

  • Pratt, M., Rockmann, KW, Kaufmann, JB. 2006. "Constructing Professional Identity: The Role of Work Identity Learning Cycles in the Customization of Identity among Medical Residents." Academy of Management Journal 49(2): 235–262.

    Article  Google Scholar 

  • Proctor, R. E. 1998. Defining the Humanities: How Rediscovering a Tradition Can Improve Our Schools. Bloomington, IN, Indiana University Press.

    Google Scholar 

  • Rhodes, F. H. T. 2001. The Creation of the Future: The Role of the American University. Ithaca, NY, Cornell University Press.

    Google Scholar 

  • Sandelowski, M. 2000. "Whatever Happened to Qualitative Description?" Research in Nursing 23(4): 334–340.

    Google Scholar 

  • United States Holocaust Museum. "Deadly Medicine: Creating the Master Race." (http://www.ushmm.org/information/exhibitions/online-features/online-exhibitions/deadly-medicine-creating-the-master-race)

  • Wear, D. and J.M. Aultman. 2007 "Creating Difficulties Everywhere." Perspectives in Biology and Medicine 50(3): 348–362.

    Article  Google Scholar 

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Acknowledgments

The author wishes to thank the faculty at the Center for help with conceptualization of the program and assistance with the many details involved in running this program, as well as comments on earlier versions of this paper.

Conflicts of Interest

The author declares that the author has no conflict of interest.

Funding

Funding for the Medical Humanities and Ethics Certificate Program was generously provided by an endowment from the John P. McGovern Foundation.

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Correspondence to Cheryl J. Erwin.

Additional information

1 http://medhum.med.nyu.edu/ We define the term "medical humanities" broadly to include an interdisciplinary field of humanities (literature, philosophy, ethics, history and religion), social science (anthropology, cultural studies, psychology, sociology), and the arts (literature, theater, film, and visual arts) and their application to medical education and practice.

2 http://medschool.ucsf.edu/aoc/humanities/mission.aspx For the purposes of this program, we define "humanities" quite broadly to include traditional fields (literature, rhetoric, philosophy, religious studies, ethics and history, for example); creative writing and the arts (visual, theater, media); as well as the humanities-oriented social sciences (anthropology, sociology, for example).

3We did not keep track of ethnic, racial, sexual orientation, or other demographic categories. Our students came from a broad geographic range – from all over the United States, Russia, Australia, Africa (Kenya), the middle east (Turkey), Asia (India, Pakistan), Europe (France) and Central America (Guatemala). They also came from diverse perspectives with formal training in the biological and physical sciences, drama, music, literature, social sciences, business, and engineering. We try to be open to everyone who wishes to join the Program.

4Because some students took a year off for personal reasons our graduation rate is slightly higher than indicated by these numbers. Of the students who dropped out of the program most withdrew for personal reasons including time constraints due to the need to care for younger siblings, serious illness of their own or family members, or academic difficulties necessitating additional focus on basic sciences. The three students who withdrew during their fourth year all cited an inability to complete the required Medical Humanities elective and also complete an out of town rotation required for their desired residency.

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Erwin, C.J. Development of a Medical Humanities and Ethics Certificate Program in Texas. J Med Humanit 35, 389–403 (2014). https://doi.org/10.1007/s10912-014-9306-4

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