The role of narrative medicine program in promoting professional ethics: perceptions of Iranian medical students
Abstract
Narrative medicine (NM) is an educational tool that can be used to promote the professional competencies of medical students. This study aimed to investigate Iranian medical students’ perceptions of the first NM program offered in 2019.
The study was conducted on 69 medical interns who participated in the weekly NM program that was part of the professional ethics course for two months. We used a questionnaire to determine medical interns' perceptions and personal attitudes toward NM. Three experts confirmed the validity of the questionnaire in Persian, and its reliability was verified by internal consistency (α = 0.879). The independent t-test was used to compare the differences in the total scores of students' perceptions. Data analysis was conducted using SPSS 23 software (P < 0.05). The response rate to the questionnaire was 95.65%. The results showed overall students' perceptions of the program were found to be positive. Furthermore, the scores showed a significant difference in terms of gender (P = 0.014), but none in terms of marital status (P = 0.936). According to the results, NM was effective in improving students’ reflections and their empathy with patients. Therefore, it is recommended to include NM in professional ethics education.
Yu M. When I say… narrative competence. Med Educ. 2017;51(12):1203-5.
Milota MM, van Thiel GJMW, van Delden JJM. Narrative medicine as a medical education tool: a systematic review. Med Teach. 2019; 41(7): 802-10.
Huang CD, Liao KC, Chung FT, Tseng HM, Fang JT, Lii SC, et al. Different perceptions of narrative medicine between Western and Chinese medicine students. BMC Med Educ. 2017;17(1):85.
Arntfield SL, Slesar K, Dickson J, Charon R. Narrative medicine as a means of training medical students toward residency competencies. Patient Educ Couns. 2013; 91(3): 280-6.
Wesley T, Hamer D, Karam G. Implementing a narrative medicine curriculum during the internship year: an internal medicine residency program experience. Perm J. 2018; 22: 17-187.
Chen PJ, Huang CD, Yeh SJ. Impact of a narrative medicine programme on healthcare providers’ empathy scores over time. BMC Medical Education. 2017;17(1):1-8.
Deen SR, Mangurian C, Cabaniss DL. Points of contact: using first-person narratives to help foster empathy in psychiatric residents. Acad Psychiatry. 2010; 34(6): 438-41.
Charon R, DasGupta S. Narrative medicine, or a sense of story. Lit Med. 2011; 29(2): vii-xiii.
Daryazadeh S. Application of narrative in medical ethics. J Med Ethics Hist Med. 2019; 12: 13.
Barber S, Moreno-Leguizamon CJ. Can narrative medicine education contribute to the delivery of compassionate care? a review of the literature. Med Humanit. 2017; 43(3):199-203.
Coret A, Boyd K, Hobbs K, Zazulak J, McConnell M. Patient narratives as a teaching tool: a pilot study of first-year medical students and patient educators affected by intellectual/developmental disabilities. Teach Learn Med. 2018; 30(3): 317-27.
Daryazadeh S, Adibi P, Yamani N, Mollabashi R. Impact of narrative medicine program on improving reflective capacity and empathy of medical students in Iran. J Educ Eval Health Prof. 2020; 17: 3.
Olds S. Narrative poetry and narrative medicine rounds. Lit Med. 2011; 29(2): 227-45.
Winkel AF. Narrative medicine: a writing workshop curriculum for residents. MedEdPORTAL. 2016; 12: 10493.
Gowda D, Curran T, Khedagi A, Mangold M, Jiwani F, Desai U, et al. Implementing an interprofessional narrative medicine program in academic clinics: Feasibility and program evaluation. Perspectives on Medical Education. 2019;8(1):52-9.
Rian J, Hammer R. The practical application of narrative medicine at Mayo Clinic: imagining the scaffold of a worthy house. Cult Med Psychiatry. 2013; 37(4): 670-80.
Tsai SL, Ho MJ. Can narrative medicine training improve OSCE performance? Med Educ. 2012; 46(11): 1112-3.
Miller E, Balmer D, Hermann N, Graham G, Charon R. Sounding narrative medicine: studying students' professional identity development at Columbia University College of Physicians and Surgeons. Acad Med. 2014; 89(2): 335-42.
Charon R, Hermann N, Devlin MJ. Close reading and creative writing in clinical education: teaching attention, representation, and affiliation. Acad Med. 2016; 91(3): 345-50.
Winkel AF, Feldman N, Moss H, Jakalow H, Simon J, Blank S. Narrative medicine workshops for obstetrics and gynecology residents and association with burnout measures. Obstet Gynecol. 2016; 128 Suppl.1: 27S-33S.
Karnieli-Miller O, Vu TR, Holtman MC, Clyman SG, Inui TS. Medical students' professionalism narratives: a window on the informal and hidden curriculum. Acad Med. 2010; 85(1): 124-33.
Nabli Ajmi T, Bougmiza MI, Mtiraoui A. Attitudes of Tunisian medical students to medical practice: gender differences. East Mediterr Health J. 2008;14(3):686–96.
Daryazadeh S, Yamani N, Adibi P. Development of a checklist to validate the framework of a narrative medicine program based on Gagne’s instructional design model in Iran through consensus of a multidisciplinary expert panel. J Educ Eval Health Prof. 2019;16: 34.
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Issue | Vol 14 (2021) | |
Section | Original Article(s) | |
DOI | https://doi.org/10.18502/jmehm.v14i21.8181 | |
Keywords | ||
Narrative medicine Empathy Professional ethics |
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