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Teaching with Parents in Medical School Curricula
Janice Hanson and Virginia Randall. Uniformed Services University
of the Health Sciences, Bethesda, MD
Objectives: 1. To elicit descriptions of competencies
that parents find helpful in physicians. 2. To work with parents
and faculty to develop activities for medical education to teach
parent-generated competencies. 3. To implement these activities.
Methods: Focus groups, interviews and collaborative working groups
with parents and medical school faculty were utilized. Results:
Qualitative analysis identified attitudes parents consider important
and competencies regarding communication, shared medical decision-making
and advocacy. Collaborative working groups developed and implemented
these six activities: Teaching Advocacy with Patients and Families:
Parent-and patient-advisors work intensively with small groups of
students regarding advocating for patients and families. Home Visits:
Medical students visit children and families at home to discuss
parents' views about healthcare, observe the resilience of
people who face health challenges, and enhance understanding of
resources and interventions that help people live with disabilities
in home and community environments. Medical Ethics with Parent Collaborators:
In a bioethics course, discussions with parents put a human face
on ethical decision-making in healthcare. Parent Presentations about
Developmental Disabilities: Pictures, stories and a question/answer
session translate diagnostic criteria into experiences from the
lives of children and families. Case-based Learning with Parent
Co-Teachers: One-hour sessions engage medical students with parents
to address pediatric development and the approach to a pediatric
interview.
Research with Patients and Families: During a month-long
elective, students construct a research project with a patient-
and family-advisory group as the major resource. Conclusions: Parents
delineate competencies that parent- and faculty-collaborators can
translate into curricular activities in which students develop medically
relevant understanding of the context of children's lives.
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