Evidence map›Paper›PMID 35960444›Full record

ArticlePerspectives on medical education2022

'Things we are expected to just do and deal with': Using the medical humanities to encourage reflection on vulnerability and nurture clinical skills, collegiality, compassion, and self-care.

Michaela Kelly, Johanna Lynch, Penny Mainstone, Alison Green, Nancy Sturman

Abstract read
In one paragraph

Article in Perspectives on medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. The power of connected clinical teams: from loneliness to belonging.Philosophy, ethics, and humanities in medicine : PEHM · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Michaela KellyGeneral Practice Clinical Unit, The University of Queensland, Brisbane, Australia. m.kelly4@uq.edu.au.ORCID http://orcid.org/0000-0002-4968-1797
Johanna LynchGeneral Practice Clinical Unit, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0002-8928-3670
Penny MainstoneGeneral Practice Clinical Unit, The University of Queensland, Brisbane, Australia.
Alison GreenGeneral Practice Clinical Unit, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0002-8588-4049
Nancy SturmanGeneral Practice Clinical Unit, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0002-7124-5553

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Vulnerability in Medicine (ViM) program was developed to provide protected time and psychologically safe spaces for third-year medical students to consider challenges in the doctor-patient relationship and the clinical workplace. A suite of discussion-prompts presented in a small-group learning environment provides a springboard for students to reflect on their development as clinicians, understand the personhood of their patients, explore the therapeutic relationship, and consider emotional responses and personal, cultural, and social assumptions that impact on care. The program supports students to recognise vulnerability in themselves, the patient, their tutors, and the wider clinical team, as they face the challenge of aligning the clinician they want to become with ideals of professionalism and the imperfect clinical workplace. This 6‑week program focuses on the vulnerability of patients, students, and doctors in a weekly tutorial interposed with clinical placements primarily in geriatric, rehabilitation, or palliative medicine. The tutorials draw from the medical humanities and use experiential, reflective, and narrative learning techniques. They are facilitated by generalist clinicians who model their own vulnerability, humanity, and reflective practice by sharing tutorial tasks equally with students. Students report feeling supported, and appreciate the opportunity to discuss ethical, psychosocial, and emotional aspects of medicine whilst reflecting on what medical practice means to them. Tutors experience a deeper appreciation of student journeys and their own vocations as clinicians and teachers. The sharing of vulnerability exposes the humanity of patients, students, and clinicians, and sustains our whole-person approach to the care of patients, students, and ourselves.

Indexed as

Clinical CompetencePhysician-Patient RelationsAgedEmpathyHumanitiesHumansSelf CareCreative enquiryDoctor-patient relationshipMedical student and doctor’s healthReflective practice

Identifiers

PMID35960444
PMCPMC9582175

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.