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Summary and Implications

  • David Ian JeffreyEmail author
Chapter

Abstract

This chapter summarises the key findings of this innovative research. The overarching theme is the tension between connection and detachment from the patient. It is hoped that the conclusions will resonate with medical educators who may appreciate the insights gained from the students’ stories. In any phenomenological research, drawing implications for undergraduate medical education must be tentative. It is suggested that this medical school needs to redress the balance between the biomedical and psychosocial elements of patient care.

References

  1. Antonovsky, A. (1996). The salutogenic model as a theory to guide health promotion. Health Promotion International, 11, 11–18.CrossRefGoogle Scholar
  2. Batt-Rawden, S., Chisolm, M. S., Anton, B., & Flickinger, T. E. (2013). Teaching empathy to medical students: An updated, systematic review. Academic Medicine, 88, 1171–1177.CrossRefGoogle Scholar
  3. Bleakley, A., & Bligh, J. (2008). Students learning from patients: Let’s get real in medical education. Advances in Health Sciences Education, 13, 89–107.CrossRefGoogle Scholar
  4. Bloom, S. (1989). The medical school as a social organization: The sources of resistance to change. Medical Education, 23, 228–241.CrossRefGoogle Scholar
  5. Burks, D. J., & Kobus, A. M. (2012). The legacy of altruism in health care: The promotion of empathy, prosociality and humanism. Medical Education, 46, 317–325.CrossRefGoogle Scholar
  6. Carel, H. (2016). The Phenomenology of Illness. Oxford: Oxford University Press.CrossRefGoogle Scholar
  7. Charon, R. (2001). Narrative medicine—A model for empathy, reflection, profession, and trust. JAMA, 286, 1897–1902.CrossRefGoogle Scholar
  8. Cleland, J. (2015). Exploring versus measuring: Considering the fundamental differences between qualitative and quantitative research. In J. Cleland & S. Durning (Eds.), Researching Medical Education. London: Wiley.CrossRefGoogle Scholar
  9. Cooper, B. (2011). Empathy in Education: Engagement, Values and Achievement. London: Bloomsbury Publishing.Google Scholar
  10. Decety, J., & Ickes, W. (2011). The Social Neuroscience of Empathy. Cambridge: MIT Press.Google Scholar
  11. Engel, G. L. (1977). The need of a new medical model: A challenge for biomedicine. Science, 196, 129–136.CrossRefGoogle Scholar
  12. Finlay, L., & Gough, B. (2008). Reflexivity: A Practical Guide for Researchers in Health and Social Sciences. Chichester: Wiley.Google Scholar
  13. Francis, R. (2013). Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry: Executive Summary. London: HMSO.Google Scholar
  14. Gallagher, P., Moriarty, H., Huthwaite, M., & Lim, B. (2017). Challenging some assumptions about empathy. The Clinical Teacher, 14, 437–440.CrossRefGoogle Scholar
  15. Genn, J. (2001). AMEE Medical Education Guide No. 23 (Part 2): Curriculum, environment, climate, quality and change in medical education—A unifying perspective. Medical Teacher, 23, 445–454.PubMedGoogle Scholar
  16. Halpern, J. (2001). From Detached Concern to Empathy: Humanizing Medical Practice. Oxford: Oxford University Press.CrossRefGoogle Scholar
  17. Lempp, H., & Seale, C. (2004). The hidden curriculum in undergraduate medical education: Qualitative study of medical students’ perceptions of teaching. British Medical Journal, 329, 770–773.CrossRefGoogle Scholar
  18. Monrouxe, L. V., Rees, C. E., & Hu, W. (2011). Differences in medical students’ explicit discourses of professionalism: Acting, representing, becoming. Medical Education, 45, 585–602.CrossRefGoogle Scholar
  19. Montgomery, K. (2006). How Doctors Think: Clinical Judgment and the Practice of Medicine. Oxford: Oxford University Press.Google Scholar
  20. Paley, J. (2017). Phenomenology as Qualitative Research: A Critical Analysis of Meaning Attribution. London: Taylor & Francis.Google Scholar
  21. Plotkin, J. B., & Shochet, R. (2018). Beyond words: What can help first year medical students practice effective empathic communication? Patient Education and Counseling, 101, 2005–2010.CrossRefGoogle Scholar
  22. Schön, D. A. (1987). Educating the Reflective Practitioner: Toward a New Design for Teaching and Learning in the Professions. San Francisco: Jossey-Bass.Google Scholar
  23. Schweller, M., Ribeiro, D. L., Celeri, E. V., & de Carvalho-Filho, M. A. (2017). Nurturing virtues of the medical profession: Does it enhance medical students’ empathy? International Journal of Medical Education, 8, 262.CrossRefGoogle Scholar
  24. Shapiro, J. (2008). Walking a mile in their patients’ shoes: Empathy and othering in medical students’ education. Philosophy, Ethics, and Humanities in Medicine, 3, 10–21.CrossRefGoogle Scholar
  25. Shapiro, J. (2012). The paradox of teaching empathy in medical students. In J. Decety (Ed.), Empathy: From Bench to Bedside. Cambridge: MIT Press.Google Scholar
  26. Shapiro, J., Rucker, L., & Robitshek, D. (2006). Teaching the art of doctoring: An innovative medical student elective. Medical Teacher, 28, 30–35.CrossRefGoogle Scholar
  27. Sohn, B. K. (2017). Phenomenology as qualitative research: A critical analysis of meaning attribution. Issues in Mental Health Nursing, 38, 528–529.CrossRefGoogle Scholar
  28. Vagle, M. D. (2010). Re-framing Schön’s call for a phenomenology of practice: A post-intentional approach. Reflective Practice, 11, 393–407.CrossRefGoogle Scholar
  29. Van Manen, M. (2016). Researching Lived Experience: Human Science for an Action Sensitive Pedagogy. London: Routledge.Google Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.University of EdinburghEdinburghUK

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