Physicianship and the Rebirth of Medical Education

Author:   J. Donald Boudreau (Associate Professor, Associate Professor, McGill University Department of Medicine) ,  Eric Cassell (Emeritus Professor of Public Health, Emeritus Professor of Public Health, Weill Medical College of Cornell University) ,  Abraham Fuks (Professor, Departments of Medicine, Pathology and Oncology, Professor, Departments of Medicine, Pathology and Oncology, McGill University)
Publisher:   Oxford University Press Inc
ISBN:  

9780199370818


Pages:   400
Publication Date:   26 April 2018
Format:   Hardback
Availability:   To order   Availability explained
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Physicianship and the Rebirth of Medical Education


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Overview

The renewal of medical curricula generally arises from emerging pedagogies (e.g. problem-based learning), new technologies (e.g. high fidelity simulation), or prevailing sociocultural forces (e.g. complexity of health care delivery and team-based care). Approximately 15 years ago, a team of physicians and administrators sought to take this further: by considering the very nature of medical practice and the patient-physician relationship that is the context and conduit of caring and care, they restructured the composition and function of medical education. This book, Physicianship and the Rebirth of Medical Education, is the authoritative publication on the philosophy, design, and implementation of this new curriculum. From first year to graduation, this book reimagines the education of medical students in its entire scope. It discusses the epistemology of clinical practice and pedagogical methods and addresses pragmatic issues of curricular implementation. The educational blueprint presented in the book rests on a new definition of sickness, one focused on impairments of function as the primary issue of concern for both patients and their care givers. This perspective avoids the common shift of medical attention from persons to diseases, and thus provides the basis for an authentic and robust patient-centered mindset. The title of the book refers to a ""rebirth."" This implies that there was a previous ""birth."" Indeed, the critical ingredients of medical education were articulated historically and many features emanate from a time-honored apprenticeship model. This book recognizes in William Osler and his ""natural method of teaching the subject of medicine"" the foundational elements for teaching physicianship. The practice of medicine is indelibly relational and, in turn, medical education is an intellectual and an emotional journey that is rooted in clinical relationships. As this book shows, medicine must unfold in the context of patient care; patients, not diseases, should be the center of attention.

Full Product Details

Author:   J. Donald Boudreau (Associate Professor, Associate Professor, McGill University Department of Medicine) ,  Eric Cassell (Emeritus Professor of Public Health, Emeritus Professor of Public Health, Weill Medical College of Cornell University) ,  Abraham Fuks (Professor, Departments of Medicine, Pathology and Oncology, Professor, Departments of Medicine, Pathology and Oncology, McGill University)
Publisher:   Oxford University Press Inc
Imprint:   Oxford University Press Inc
Dimensions:   Width: 23.90cm , Height: 3.60cm , Length: 16.50cm
Weight:   0.680kg
ISBN:  

9780199370818


ISBN 10:   0199370818
Pages:   400
Publication Date:   26 April 2018
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Hardback
Publisher's Status:   Active
Availability:   To order   Availability explained
Stock availability from the supplier is unknown. We will order it for you and ship this item to you once it is received by us.

Table of Contents

Preface Introduction SECTION ONE Clinical Medicine Chapter 1 Health, Illness and Disease Chapter 2 Functioning Chapter 3 The Goals of Physicians Chapter 4 Person-centeredness Chapter 5 The Doctor-Patient Relationship Chapter 6 The 'Good Doctor' SECTION TWO Teaching the Clinical Method Chapter 7 The Clinical Method and Subjectivity in Medicine Chapter 8 Medical Education: Highlights of the Past Two Centuries Chapter 9 Competency-Based Education Chapter 10 The Rise and Fall of Clinical Teaching Chapter 11 Teaching a Clinical Method Adapted to Contemporary Medicine SECTION THREE The Physicianship Curriculum Chapter 12 Building on Past Experience Chapter 13 Theory Chapter 14 Educational Blueprint: Phases I to IV Chapter 15 Phase I - The Person Chapter 16 Phase II - Sick Persons Chapter 17 Phases III and IV - Doctoring Afterword Epilogue by J. Donald Boudreau Epilogue by Eric J. Cassell Epilogue by Abraham Fuks About the Authors Acknowledgments Index

Reviews

It is rare for a specialty textbook to bring song to the soul. Yet my reading of this remarkable volume resuscitated an idealism chronically dulled by cynicism. Three eminent physicians and medical educators have committed twenty years to the thought-laced and morally compassed process of reimagining the goals and methods of the medical school. Not just pie in the sky, what they describe is now in full force within the required curriculum of a major North American medical school. Drs. Boudreau, Cassell, and Fuks propose a radical conceptual framework for a person-centered and function-focused health care. With humility and courage, they challenge their readers to reimagine a medicine that respects patients, nourishes doctors, contributes to health, and enhances life. And then they tell us all how we can get there. They are as earnest as Job, as clear-eyed as Chekhov, as creative as William Carlos Williams, and as demanding as Osler. If you teach medical students or are one, read this book. --Dr. Rita Charon, Professor of Medicine and Founder and Executive Director of the Program in Narrative Medicine, Columbia University Physicianship and the Rebirth of Medical Education is a remarkable book on medical education thought, insight and reform. Written by three master medical educators, this literary gem should be mandatory reading for every medical school curriculum committee and medical school dean across the globe. The authors brilliantly reaffirm the moral foundation of medical education which is anchored by the resolute relationship among the attending teacher - the student - and the patient. Their 'Physicianship Curriculum' is built upon the history of medical education spanning Aristolelian philosophy, Flexnerian reform, 20th Century medical science and clinical decision making and competency-based education.The early chapters form the historical and epistemological context that justifies the author's 'Educational Blueprint' for a modern medical education curriculum. A curriculum that is inclusive of interdisciplinary care, humanism, empathic compassion, mastery of clinical judgment, and anchored by the important triad of the attending teacher - the student - and the patient. In the end, Boudreau, Cassell and Fuks translate the powerful clinical narratives of Richard Reynolds and John Stone's 'On Doctoring' (2001) into a dynamic journey of curricular enlightenment. --Dr. Christopher C. Colenda, Dean Emeritus, College of Medicine, Texas A&M University Health Sciences; Former Chancellor for Health Sciences, West Virginia University This book has arisen from the friendship of three of the most inspiring medical educators in North America. Throughout, it shows evidence of their shared passion for humane clinical practice and pedagogy. Starting from the core notion of physicianship, they argue in favour of a new conceptual framework for medical education: one that puts the sick person rather than disease at the centre, and is resolutely relationship-based. They draw on sources from Aristotle through Osler and contemporary educational research to support their case, and show in detail how they have appied these principles in the physicianship curriculum at McGill University. This is not only an impressive contribution to the field of medical education but a literate, compassionate and moving one, that should be of interest to everyone who cares about how doctors should be trained. --Dr. John Launer, Associate Dean for Faculty Development, Health Education England; Honorary Lifetime Consultant, Tavistock Clinic This timely book addresses the fragmentation and alienation experienced by physician educators, patients and students in contemporary healthcare settings. The authors call for a new 'physicianship' that effectively combines the role of professional with that of healer (a term woefully abandoned in medical education). They unabashedly revive Oslerian notions of apprenticeship, caring, bearing witness to suffering and artful practice, all while providing a fully modern approach to curricular design. Just the shot in the arm we all need. --Dr. Allan Peterkin, Professor of Psychiatry and Family Medicine, University of Toronto 100 years after Flexner, the authors convincingly present the case for bold change in medical education, moving beyond 'curricular tinkering' to Physicianship as a core defining vision. Students in a craft apprenticeship will learn authentic whole person care, focused on functional impairment and healing, rather than disease and cure. Interpersonal relationships among the triad of patient, student, and clinician-teachers are key to both learning and doctoring. A proposed four year curricular structure is grounded in rich critical description of history, philosophy, theories and previous approaches to medical education. --Dr. Carol P. Herbert, Professor Emerita and Former Dean, Schulich School of Medicine & Dentistry, Western University A compelling journey of the evolving art and science of medicine and the healing relationship. Founded on great respect for the past, deep understanding of the present and brilliant imagining of the possibilities of the future. Wise, thoughtful, challenging but practical. --Dr. Christine Bennett, Dean, School of Medicine, Sydney--The University of Notre Dame Australia


Author Information

J. Donald Boudreau, a graduate of Dalhousie University, is a respiratory physician. He is a former Associate Dean of undergraduate medical education at McGill University, a member of its Centre for Medical Education, and a Professor of the Arnold P. Gold Foundation, a foundation dedicated to promoting humanism in medicine. Eric J. Cassell is Emeritus Professor of Public Health at Weill Medical College of Cornell University and Adjunct Professor of Medicine at McGill University. He is also a fellow of the Hastings Centre, a member of the Institutes of Health of the National Academy of Sciences, and Master of the American College of Physicians. Abraham Fuks is a clinical immunologist with experience in research and clinical practice. He served as Dean of the Faculty of Medicine at McGill from 1995 to 2006 and was a Visiting Professor in the Department of Social Medicine at Harvard University in 2007-2008. He has an ongoing scholarly interest in the language of medicine and its metaphoric structure and in the role of narratives in the patient-physician relationship.

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