The Psychology of Shame: A Resilience Seminar for Medical Students

Introduction Shame is a powerful emotion that can cause emotional distress, impaired empathy, social isolation, and unprofessional behavior in medical learners. However, interventions to help learners constructively engage with shame are rare. This module educated medical students about shame, guide...

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Autores principales:	William E. Bynum, Sebastian Uijtdehaage, Anthony R. Artino, James W. Fox
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Shame Resilience Emotion Transition Periods Wellness Error Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/e744ad7d8f484e24b7c5bd0546de4af5
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spelling	oai:doaj.org-article:e744ad7d8f484e24b7c5bd0546de4af52021-11-19T15:21:37ZThe Psychology of Shame: A Resilience Seminar for Medical Students10.15766/mep_2374-8265.110522374-8265https://doaj.org/article/e744ad7d8f484e24b7c5bd0546de4af52020-12-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11052https://doaj.org/toc/2374-8265Introduction Shame is a powerful emotion that can cause emotional distress, impaired empathy, social isolation, and unprofessional behavior in medical learners. However, interventions to help learners constructively engage with shame are rare. This module educated medical students about shame, guided them through an exploration of their shame experiences, and facilitated development of shame resilience. Methods In this 2-hour workshop, clinical-year medical students were guided through the psychology of shame through didactic slides. Next, a small panel of volunteer students, recruited and coached prior to the workshop, shared reflections on the content, including their shame experiences during medical school. This was followed by didactic slides outlining strategies to promote shame resilience. Participants then broke into faculty-led small groups to discuss session content. The module included a small-group facilitator guide for leading discussions on shame, didactic slides, discussion prompts, an evaluation tool, and a film entitled The Shame Conversation that was created after the initial workshop. Results A retrospective pre/postsurvey revealed statistically significant increases in: (1) importance ascribed to identifying shame in one's self or colleagues, (2) confidence in one's ability to recover from a shame reaction, and (3) comfort in reaching out to others when shame occurs. Analysis of open-ended questions showed that students felt the seminar would enhance future resilience by helping them identify and normalize shame, distinguish shame from guilt, and reach out to others for help. Discussion This workshop appears to prepare students to more constructively engage with shame when it occurs in medical training.William E. BynumSebastian UijtdehaageAnthony R. ArtinoJames W. FoxAssociation of American Medical CollegesarticleShameResilienceEmotionTransition PeriodsWellnessErrorMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Shame Resilience Emotion Transition Periods Wellness Error Medicine (General) R5-920 Education L
spellingShingle	Shame Resilience Emotion Transition Periods Wellness Error Medicine (General) R5-920 Education L William E. Bynum Sebastian Uijtdehaage Anthony R. Artino James W. Fox The Psychology of Shame: A Resilience Seminar for Medical Students
description	Introduction Shame is a powerful emotion that can cause emotional distress, impaired empathy, social isolation, and unprofessional behavior in medical learners. However, interventions to help learners constructively engage with shame are rare. This module educated medical students about shame, guided them through an exploration of their shame experiences, and facilitated development of shame resilience. Methods In this 2-hour workshop, clinical-year medical students were guided through the psychology of shame through didactic slides. Next, a small panel of volunteer students, recruited and coached prior to the workshop, shared reflections on the content, including their shame experiences during medical school. This was followed by didactic slides outlining strategies to promote shame resilience. Participants then broke into faculty-led small groups to discuss session content. The module included a small-group facilitator guide for leading discussions on shame, didactic slides, discussion prompts, an evaluation tool, and a film entitled The Shame Conversation that was created after the initial workshop. Results A retrospective pre/postsurvey revealed statistically significant increases in: (1) importance ascribed to identifying shame in one's self or colleagues, (2) confidence in one's ability to recover from a shame reaction, and (3) comfort in reaching out to others when shame occurs. Analysis of open-ended questions showed that students felt the seminar would enhance future resilience by helping them identify and normalize shame, distinguish shame from guilt, and reach out to others for help. Discussion This workshop appears to prepare students to more constructively engage with shame when it occurs in medical training.
format	article
author	William E. Bynum Sebastian Uijtdehaage Anthony R. Artino James W. Fox
author_facet	William E. Bynum Sebastian Uijtdehaage Anthony R. Artino James W. Fox
author_sort	William E. Bynum
title	The Psychology of Shame: A Resilience Seminar for Medical Students
title_short	The Psychology of Shame: A Resilience Seminar for Medical Students
title_full	The Psychology of Shame: A Resilience Seminar for Medical Students
title_fullStr	The Psychology of Shame: A Resilience Seminar for Medical Students
title_full_unstemmed	The Psychology of Shame: A Resilience Seminar for Medical Students
title_sort	psychology of shame: a resilience seminar for medical students
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/e744ad7d8f484e24b7c5bd0546de4af5
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The Psychology of Shame: A Resilience Seminar for Medical Students

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