Reflective Writing and Medical Students

 

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Bridging the narrative gap through reflective writing

Like many institutions in the forefront of medical education, the University of Florida College of Medicine expanded its efforts to ensure that medical practice—while pushing the frontiers of scientific knowledge—retains its roots in empathy and compassionate care. Among the elective courses for medical students that help to foster empathy and physician self-care is a reflective writing course designed and taught by Dr. Gail Ellison who works to create a supportive community of students who write and discuss in a comfortable setting, reflecting on the humanistic side of medicine, and discussing such issues as authenticity, death, revulsion, and ideals that are sometimes obscured by depersonalized coursework.

In early gatherings in the new Maren Reading Room, students expressed interest in writing as a way to capture, detail, and understand the concerns, reactions, and memories that arise in their interactions with patients and staff. Students see reflective writing as a way to actively engage in maintaining their own humanity, creativity, and emotional well-being. In particular, reflective writing courses such as that designed by Dr. Stephanie Cooper, facilitate, in her words:

  • Enhancement of students’ narrative capacity and skills for understanding and empathy. These skills allow the students to better hear and thus better heal the patient by inspiring patient-centered decision making.
  • Imbuing the students with listening and communication skills to improve their ability to more accurately render the patient’s story, and thus provide better patient care.
  • Enhancement of the students’ self-awareness amidst the rigors of medical school. Because each student’s personal stories affect their patient care, analyzing and processing personal values, biases, and views can lead to increased diagnostic ability and increased capacity for compassion.
  • Allowing students to bridge, as they build, their narrative and clinical skills.
  • Provide a more intimate setting than a lecture hall to allow students and practitioners to discuss freely the challenges of becoming and being a physician in the 21st century

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