Rankin John A
Department of Medicine, University of Massachusetts Chan School of Medicine, Worcester, Massachusetts.
ATS Sch. 2025 Mar;6(1):24-29. doi: 10.34197/ats-scholar.2024-0034PS. Epub 2024 Oct 16.
For centuries, students have had minimal power in the dynamic relationship with faculty. Understandably, then, students have been reluctant to express concerns about faculty behavior believed to be counterproductive to a safe and positive learning environment. In more recent times, medical students have increasingly been encouraged to voice concerns about faculty behavior that students believe is counterproductive. However, medical students frequently are not experienced in the expression of their concerns and are uncomfortable with and reluctant to engage in direct discussions with faculty. As medical schools continue to encourage students to express their concerns, they have an opportunity to teach students to voice these concerns productively, to help students overcome their inherent reluctance to deal directly with faculty, and thereby to teach critical conflict management skills that will serve students throughout their careers. I propose two actionable and specific ways medical schools can teach students and faculty alike to work together to their mutual benefit. The first is by requiring students to be actively involved in direct discussions with faculty when concerns are expressed, and the second is for faculty to be educated more comprehensively on how to handle emotionally and practically the expressions of student concerns. In this manner, medical schools foster the building of student conflict management skills that will benefit them throughout their careers. In addition, medical schools foster the building of bonds between students and patients, as well as faculty and colleagues, who may hold different viewpoints. Both students and faculty stand to benefit from implementing these strategies. Furthermore, this evens the power differential in the dynamics of their relationship by moving the power pendulum to the more equitable middle position.
几个世纪以来,在与教师的动态关系中,学生的权力微乎其微。因此,可以理解的是,学生一直不愿表达对那些被认为不利于安全和积极学习环境的教师行为的担忧。近年来,医学院校越来越鼓励医学生对他们认为适得其反的教师行为表达担忧。然而,医学生通常缺乏表达担忧的经验,并且对与教师进行直接讨论感到不自在和不情愿。随着医学院校继续鼓励学生表达他们的担忧,他们有机会教导学生有效地表达这些担忧,帮助学生克服与教师直接打交道时固有的不情愿,从而教授关键的冲突管理技能,这些技能将在学生的整个职业生涯中发挥作用。我提出两种可行且具体的方法,医学院校可以教导学生和教师共同努力,实现互利共赢。第一种方法是要求学生在表达担忧时积极参与与教师的直接讨论,第二种方法是让教师接受更全面的教育,了解如何在情感和实际层面上处理学生表达的担忧。通过这种方式,医学院校培养学生的冲突管理技能,这将使他们在整个职业生涯中受益。此外,医学院校促进学生与患者之间以及教师与同事之间建立联系,尽管他们可能持有不同的观点。学生和教师都将从实施这些策略中受益。此外,这通过将权力摆锤移向更公平的中间位置,使他们关系动态中的权力差异趋于平衡。