A collaborative clinical case conference model for teaching social and behavioral science in medicine: an action research study

Abstract Background Effective social and behavioral sciences teaching in medical education requires integration with clinical experience, as well as collaboration between social and behavioral sciences experts and clinical faculty. However, teaching models for achieving this integration have not bee...

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Autores principales:	Junichiro Miyachi, Junko Iida, Yosuke Shimazono, Hiroshi Nishigori
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Social and behavioral sciences Anthropology Integration Clinical case conference Faculty development Special aspects of education LC8-6691 Medicine R
Acceso en línea:	https://doaj.org/article/9f75e7683aad4924b4407e864fa9e69f
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spelling	oai:doaj.org-article:9f75e7683aad4924b4407e864fa9e69f2021-11-14T12:43:04ZA collaborative clinical case conference model for teaching social and behavioral science in medicine: an action research study10.1186/s12909-021-03009-81472-6920https://doaj.org/article/9f75e7683aad4924b4407e864fa9e69f2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12909-021-03009-8https://doaj.org/toc/1472-6920Abstract Background Effective social and behavioral sciences teaching in medical education requires integration with clinical experience, as well as collaboration between social and behavioral sciences experts and clinical faculty. However, teaching models for achieving this integration have not been adequately established, nor has the collaboration process been described. This study aims to propose a collaborative clinical case conference model to integrate social and behavioral sciences and clinical experience. Additionally, we describe how social and behavioral science experts and clinical faculty collaborate during the development of the teaching method. Methods A team of medical teachers and medical anthropologists planned for the development of a case conference based on action research methodology. The initial model was planned for a 3-h session, similar to a Clinicopathological Conference (CPC) structure. We evaluated each session based on field notes taken by medical anthropologists and post-session questionnaires that surveyed participants’ reactions and points of improvement. Based on the evaluation, a reflective meeting was held to discuss revisions for the next trial. We incorporated the development process into undergraduate medical curricula in clinical years and in a postgraduate and continuous professional development session for residents and certified family physicians in Japan. We repeated the plan-act-observe-reflection process more than 15 times between 2015 and 2018. Results The development of the collaborative clinical case conference model is summarized in three phases: Quasi-CPC, Interactive, and Co-constructive with unique structures and underlying paradigms. The model successfully contributed to promoting the participants’ recognition of the clinical significance of social and behavioral sciences. The case preparation entailed unique and significant learning of how social and behavioral sciences inform clinical practice. The model development process promoted the mutual understanding between clinical faculty and anthropologists, which might function as faculty development for teachers involved in social and behavioral sciences teaching in medical education. Conclusions The application of appropriate conference models and awareness of their underlying paradigms according to educational situations promotes the integration of social and behavioral sciences with clinical medicine education. Faculty development regarding social and behavioral sciences in medical education should focus on collaboration with scholars with different paradigmatic orientations.Junichiro MiyachiJunko IidaYosuke ShimazonoHiroshi NishigoriBMCarticleSocial and behavioral sciencesAnthropologyIntegrationClinical case conferenceFaculty developmentSpecial aspects of educationLC8-6691MedicineRENBMC Medical Education, Vol 21, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Social and behavioral sciences Anthropology Integration Clinical case conference Faculty development Special aspects of education LC8-6691 Medicine R
spellingShingle	Social and behavioral sciences Anthropology Integration Clinical case conference Faculty development Special aspects of education LC8-6691 Medicine R Junichiro Miyachi Junko Iida Yosuke Shimazono Hiroshi Nishigori A collaborative clinical case conference model for teaching social and behavioral science in medicine: an action research study
description	Abstract Background Effective social and behavioral sciences teaching in medical education requires integration with clinical experience, as well as collaboration between social and behavioral sciences experts and clinical faculty. However, teaching models for achieving this integration have not been adequately established, nor has the collaboration process been described. This study aims to propose a collaborative clinical case conference model to integrate social and behavioral sciences and clinical experience. Additionally, we describe how social and behavioral science experts and clinical faculty collaborate during the development of the teaching method. Methods A team of medical teachers and medical anthropologists planned for the development of a case conference based on action research methodology. The initial model was planned for a 3-h session, similar to a Clinicopathological Conference (CPC) structure. We evaluated each session based on field notes taken by medical anthropologists and post-session questionnaires that surveyed participants’ reactions and points of improvement. Based on the evaluation, a reflective meeting was held to discuss revisions for the next trial. We incorporated the development process into undergraduate medical curricula in clinical years and in a postgraduate and continuous professional development session for residents and certified family physicians in Japan. We repeated the plan-act-observe-reflection process more than 15 times between 2015 and 2018. Results The development of the collaborative clinical case conference model is summarized in three phases: Quasi-CPC, Interactive, and Co-constructive with unique structures and underlying paradigms. The model successfully contributed to promoting the participants’ recognition of the clinical significance of social and behavioral sciences. The case preparation entailed unique and significant learning of how social and behavioral sciences inform clinical practice. The model development process promoted the mutual understanding between clinical faculty and anthropologists, which might function as faculty development for teachers involved in social and behavioral sciences teaching in medical education. Conclusions The application of appropriate conference models and awareness of their underlying paradigms according to educational situations promotes the integration of social and behavioral sciences with clinical medicine education. Faculty development regarding social and behavioral sciences in medical education should focus on collaboration with scholars with different paradigmatic orientations.
format	article
author	Junichiro Miyachi Junko Iida Yosuke Shimazono Hiroshi Nishigori
author_facet	Junichiro Miyachi Junko Iida Yosuke Shimazono Hiroshi Nishigori
author_sort	Junichiro Miyachi
title	A collaborative clinical case conference model for teaching social and behavioral science in medicine: an action research study
title_short	A collaborative clinical case conference model for teaching social and behavioral science in medicine: an action research study
title_full	A collaborative clinical case conference model for teaching social and behavioral science in medicine: an action research study
title_fullStr	A collaborative clinical case conference model for teaching social and behavioral science in medicine: an action research study
title_full_unstemmed	A collaborative clinical case conference model for teaching social and behavioral science in medicine: an action research study
title_sort	collaborative clinical case conference model for teaching social and behavioral science in medicine: an action research study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/9f75e7683aad4924b4407e864fa9e69f
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_version_	1718429065363324928

A collaborative clinical case conference model for teaching social and behavioral science in medicine: an action research study

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