Montgomery Kathryn, Chambers Tod, Reifler Douglas R
Medical Humanities and Bioethics Program, Northwestern University, Chicago IL 60611, USA.
Acad Med. 2003 Oct;78(10):958-62. doi: 10.1097/00001888-200310000-00003.
The Medical Humanities and Bioethics Program at Northwestern University's Feinberg School of Medicine is responsible for humanities education in all four years of medical school: five units of the required four-year Patient, Physician, and Society course, 37 to 40 medical humanities seminars in years one and two, more than 125 ethics case conferences in third-year clerkships, and electives for fourth-year students. The program faculty also participate in ethics and humanities education in residencies, and the program offers an annual one-year fellowship. The program introduced the small-group teaching that now characterizes much of the school's curriculum, and its course units and seminars have been a resource for faculty development and curricular innovation. Drawing on literature, religion, ethics, philosophy of medicine, film, history, social and cultural anthropology, and jurisprudence, humanities education is designed to foster habits of discourse on social and moral issues in medicine. Small-group teaching and interactive learning are its central pedagogical methods. Essential to their successful use in a school that enrolls approximately 170 students each year is a large cadre of volunteer clinicians who serve as tutors and the college system, a four-part division of each class instituted by the 1993 curriculum reform. Students are evaluated on preparation, class participation, and regular writing assignments. All course units and seminars are pass/fail (as are all first- and second-year courses); tutors supply narrative comments. The courses themselves are thoroughly evaluated by students and reviewed both by the relevant faculty-student committee and at an annual curriculum retreat.
四年制必修课程“患者、医生与社会”中的五个单元,一、二年级有37至40场医学人文研讨会,三年级实习时有125场以上的伦理案例讨论会,以及为四年级学生开设的选修课。该项目的教员还参与住院医师阶段的伦理与人文教育,并且该项目提供为期一年的年度奖学金。该项目引入了如今该校大部分课程所特有的小组教学法,其课程单元和研讨会一直是教师发展和课程创新的资源。借助文学、宗教、伦理、医学哲学、电影、历史、社会与文化人类学以及法理学,人文教育旨在培养针对医学中社会和道德问题展开讨论的习惯。小组教学和互动式学习是其核心教学方法。对于每年招收约170名学生的学校而言,这些方法得以成功运用的关键在于一大批担任导师的志愿临床医生以及学院体系,学院体系是1993年课程改革设立的每个班级的四部分划分。根据学生的准备情况、课堂参与度和定期写作作业对他们进行评估。所有课程单元和研讨会都是通过/不通过制(一、二年级的所有课程均如此);导师提供叙述性评语。课程本身会接受学生的全面评估,并由相关师生委员会以及在年度课程研讨会上进行审查。