The Other Side of Medical Student Mistreatment: Teaching Cultural Competency Across the Generational Divide

Introduction Medical student mistreatment continues to be a significant problem despite increased awareness and longitudinal efforts to address the issue. Through audience discussions of a previously published film depicting learner mistreatment, we identified challenges created by student behaviors...

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Autores principales:	Nathalie L. Feldman, Judith L. Lewis, Charmaine K. Patel, Sean F. Ackerman, Alison K. Howe, David Y. Harari, Katherine M. Evans, David C. Adams
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Learning Environment Mistreatment Generational Competence Film Curriculum Case-Based Learning Clinical Teaching/Bedside Teaching Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/867ef5f612c74dd4bee2880b74848e51
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spelling	oai:doaj.org-article:867ef5f612c74dd4bee2880b74848e512021-11-22T14:00:25ZThe Other Side of Medical Student Mistreatment: Teaching Cultural Competency Across the Generational Divide10.15766/mep_2374-8265.108472374-8265https://doaj.org/article/867ef5f612c74dd4bee2880b74848e512019-10-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10847https://doaj.org/toc/2374-8265Introduction Medical student mistreatment continues to be a significant problem despite increased awareness and longitudinal efforts to address the issue. Through audience discussions of a previously published film depicting learner mistreatment, we identified challenges created by student behaviors that negatively impact the learning environment. In addition, the need to address cultural competency in a multigenerational clinical environment became apparent. Methods We created a film of three vignettes based on perspectives shared in focus groups by faculty, residents, nurses, and staff who work with medical students. We used this film to develop student and faculty curricula elucidating generational differences in behaviors and expectations while also exploring the learner's role in creating a more positive learning environment. Results Our film was presented to medical education professionals at faculty development workshops and meetings, clerkship students at orientation sessions, residents as part of residents-as-teachers curricula, and faculty at departmental grand rounds. Evaluation data from 176 students and 42 faculty showed that a majority of our participants believed the film accurately reflected challenges they faced in the learning environment and felt better equipped to address them. Discussion Film is an effective way to stimulate discussion about complex interactions in the clinical learning environment. Divergent perspectives on behaviors depicted in the film served as a stimulus to create targeted curricula for faculty and student education. Stimulating dialogue through film may enhance understanding and empathy among disparate groups, which is likely to be a necessary step for lasting change.Nathalie L. FeldmanJudith L. LewisCharmaine K. PatelSean F. AckermanAlison K. HoweDavid Y. HarariKatherine M. EvansDavid C. AdamsAssociation of American Medical CollegesarticleLearning EnvironmentMistreatmentGenerational CompetenceFilm CurriculumCase-Based LearningClinical Teaching/Bedside TeachingMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Learning Environment Mistreatment Generational Competence Film Curriculum Case-Based Learning Clinical Teaching/Bedside Teaching Medicine (General) R5-920 Education L
spellingShingle	Learning Environment Mistreatment Generational Competence Film Curriculum Case-Based Learning Clinical Teaching/Bedside Teaching Medicine (General) R5-920 Education L Nathalie L. Feldman Judith L. Lewis Charmaine K. Patel Sean F. Ackerman Alison K. Howe David Y. Harari Katherine M. Evans David C. Adams The Other Side of Medical Student Mistreatment: Teaching Cultural Competency Across the Generational Divide
description	Introduction Medical student mistreatment continues to be a significant problem despite increased awareness and longitudinal efforts to address the issue. Through audience discussions of a previously published film depicting learner mistreatment, we identified challenges created by student behaviors that negatively impact the learning environment. In addition, the need to address cultural competency in a multigenerational clinical environment became apparent. Methods We created a film of three vignettes based on perspectives shared in focus groups by faculty, residents, nurses, and staff who work with medical students. We used this film to develop student and faculty curricula elucidating generational differences in behaviors and expectations while also exploring the learner's role in creating a more positive learning environment. Results Our film was presented to medical education professionals at faculty development workshops and meetings, clerkship students at orientation sessions, residents as part of residents-as-teachers curricula, and faculty at departmental grand rounds. Evaluation data from 176 students and 42 faculty showed that a majority of our participants believed the film accurately reflected challenges they faced in the learning environment and felt better equipped to address them. Discussion Film is an effective way to stimulate discussion about complex interactions in the clinical learning environment. Divergent perspectives on behaviors depicted in the film served as a stimulus to create targeted curricula for faculty and student education. Stimulating dialogue through film may enhance understanding and empathy among disparate groups, which is likely to be a necessary step for lasting change.
format	article
author	Nathalie L. Feldman Judith L. Lewis Charmaine K. Patel Sean F. Ackerman Alison K. Howe David Y. Harari Katherine M. Evans David C. Adams
author_facet	Nathalie L. Feldman Judith L. Lewis Charmaine K. Patel Sean F. Ackerman Alison K. Howe David Y. Harari Katherine M. Evans David C. Adams
author_sort	Nathalie L. Feldman
title	The Other Side of Medical Student Mistreatment: Teaching Cultural Competency Across the Generational Divide
title_short	The Other Side of Medical Student Mistreatment: Teaching Cultural Competency Across the Generational Divide
title_full	The Other Side of Medical Student Mistreatment: Teaching Cultural Competency Across the Generational Divide
title_fullStr	The Other Side of Medical Student Mistreatment: Teaching Cultural Competency Across the Generational Divide
title_full_unstemmed	The Other Side of Medical Student Mistreatment: Teaching Cultural Competency Across the Generational Divide
title_sort	other side of medical student mistreatment: teaching cultural competency across the generational divide
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/867ef5f612c74dd4bee2880b74848e51
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The Other Side of Medical Student Mistreatment: Teaching Cultural Competency Across the Generational Divide

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