Forming Physicians: Evaluating the Opportunities and Benefits of Structured Integration of Humanities and Ethics into Medical Education

• Published in: The Journal of medical humanities Vol. 44; no. 4; pp. 503 - 531
• Main Authors: Eno, Cassie, Piemonte, Nicole, Michalec, Barret, Adams, Charise Alexander, Budesheim, Thomas, Felix, Kaitlyn, Hack, Jess, Jensen, Gail, Leavelle, Tracy, Smith, James
• Format: Journal Article
• Language: English
• Published: New York Springer US 01-12-2023
• Subjects: Cultural and Media Studies; Curriculum; Education, Medical; Ethics, Medical; Humanities - education; Humans; Learning; Literature; Physicians; Regional and Cultural Studies; Students, Medical; Theory of Medicine/Bioethics; Medical education; Curriculum revision; Identity formation; Medical humanities; Curriculum development
• ISSN: 1041-3545; 1573-3645
• DOI: 10.1007/s10912-023-09812-2

This paper offers a novel, qualitative approach to evaluating the outcomes of integrating humanities and ethics into a newly revised pre-clerkship medical education curriculum. The authors set out to evaluate medical students’ perceptions, learning outcomes, and growth in identity development. Led by a team of interdisciplinary scholars, this qualitative project examines multiple sources of student experience and perception data, including student essays, end-of-year surveys, and semi-structured interviews with students. Data were analyzed using deductive and inductive processes to identify key categories and recurring themes. Results suggest that students not only engaged with the curricular content and met the stated learning objectives but also acknowledged their experience in the humanities and ethics curriculum as an opportunity to reflect, expand their perceptions of medicine (and what it means to be “in” medicine), connect with their classmates, and further cultivate their personal and professional identities. Results of this qualitative study show how and in what ways the ethics and humanities curriculum motivates students past surface-level memorization of factual knowledge and encourages thoughtful analysis and evaluation about how the course material relates to and influences their thinking and how they see themselves as future doctors. The comprehensive qualitative approach reflects a holistic model for evaluating the integration of humanities and ethics into the pre-clerkship medical education curriculum. Future research should examine if this approach provides a protective factor against the demonstrated ethical erosion and empathy decrease during clinical training.