Narrative Reflection in the Family Medicine Clerkship - Cultural Competence in the Third-Year Required Clerkships

Abstract

OPEN ACCESSMay 25, 2010Narrative Reflection in the Family Medicine Clerkship - Cultural Competence in the Third-Year Required Clerkships Donna Elliott, MD, EdD, Pamela Schaff, MD, Theresa Woehrle, MD, Anne Walsh, PA-C, MMSc, Janet Trial, EdD, CNM Donna Elliott, MD, EdD Keck School of Medicine of the University of Southern California Google Scholar More articles by this author , Pamela Schaff, MD University of Southern California Google Scholar More articles by this author , Theresa Woehrle, MD University of Southern California Google Scholar More articles by this author , Anne Walsh, PA-C, MMSc University of Southern California Google Scholar More articles by this author , Janet Trial, EdD, CNM Keck School of Medicine of the University of So California Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.1153 SectionsAboutAbstract ToolsDownload Citations ShareFacebookTwitterEmail AbstractAbstractThis resource cultivates effective cross-cultural communication skills, which requires an understanding of culture that includes both the physician's and the patient's perspectives. Building on a foundation of cultural awareness, knowledge, and skills students have acquired during the preclinical curriculum, this exercise provides an opportunity for students to continue to refine their narrative reflection skills as they interact with patients in the clinical setting. During the family medicine clerkship, students participate in learning activities that provide the opportunity to explore the rich opportunities of thoughtful reflection and narrative practice. Students also participate in a formative narrative reflection exercise during the clerkship orientation. Each subsequent week of the rotation, the students complete an electronic journal entry based on their clinical encounters that is focuses on the patient/physician interaction. At the end of the clerkship, students demonstrate their ability to reflect on patient care through a final project that is shared with faculty and fellow classmates in a faculty-led wrap-up discussion.A diverse patient population is helpful but not necessary to the success of this experience. Integrating cultural competence into the clinical clerkships allows students to apply cultural competence knowledge gained in the first 2 years of medical education, as well develop clinical skills in caring for patients with a variety of backgrounds. This learning experience has allowed faculty the opportunity to regularly address patient-care experiences that everyone acknowledged were fundamental to patient well-being, but had no particular place in the curriculum. A majority of students find positive educational value in their self-reflections and many comment that the family medicine clerkship has provided the one of the only opportunities they've had during their training for this therapeutic activity. Educational Objectives By the end of this module, learners will be able to: Provide health care to a diverse, multicultural patient population.Recognize the impact of the patient's story on the physician and patient relationship, and management of disease.Think and write reflectively about a patient-clinician interaction, and the feelings and attitudes they experienced as part of that interaction.Demonstrate awareness of personal limits, strengths, weaknesses, vulnerabilities, and ethical choices through the use of self-reflection, self-assessment, and narrative. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Instructor's Guide.docx Family Medicine Clerkship Handout.doc To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. Related Interpretation at the OB/GYN Bedside - Cultural Competence in the Third-Year Clerkships Stereotypes and Bias at the Psychiatric Bedside - Cultural Competence in the Third-Year Required Clerkships Narrative Reflection in the Family Medicine Clerkship - Cultural Competence in the Third-Year Required Clerkships Copyright & Permissions© 2010 Elliott et al. This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial-Share Alike license.KeywordsHealth Equity ResearchTruth DisclosureClerkshipEthical RelativismTACCT Domain Disclosures None to report. Funding/Support None to report. Prior Presentations Oral presentation at: Western Group on Educational Affairs; 2008. Poster presented at: USC Innovations in Medical Education; 2008. Loading ...