From struggle to opportunity: Reimagining medical education in a pandemic era.
COVID-19
Critical pedagogy
Medical education
Journal
Perspectives on medical education
ISSN: 2212-277X
Titre abrégé: Perspect Med Educ
Pays: Netherlands
ID NLM: 101590643
Informations de publication
Date de publication:
03 2022
03 2022
Historique:
received:
05
07
2021
accepted:
05
02
2022
revised:
24
01
2022
pubmed:
15
3
2022
medline:
29
3
2022
entrez:
14
3
2022
Statut:
ppublish
Résumé
The COVID-19 pandemic has disrupted the international medical education community in unprecedented ways. The restrictions imposed to control the spread of the virus have upended our routines and forced us to reimagine our work structures, educational programming and delivery of patient care in ways that will likely continue to change how we live and work for the foreseeable future. Yet, despite these interruptions, the pandemic has additionally sparked a transformative impulse in some to actively engage in critical introspection around the future of their work, compelling us to consider what changes could (and perhaps should) occur after the pandemic is over. Drawing on key concepts associated with scholar Paulo Freire's critical pedagogy, this paper serves as a call to action, illuminating the critical imaginings that have come out of this collective moment of struggle and instability, suggesting that we can perhaps create a more just, compassionate world even in the wake of extraordinary hardship.
Identifiants
pubmed: 35286689
doi: 10.1007/s40037-022-00702-2
pii: 10.1007/s40037-022-00702-2
pmc: PMC8919355
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
115-120Informations de copyright
© 2022. The Author(s).
Références
Klasen JM, et al. “The storm has arrived”: the impact of SARS-coV‑2 on medical students. Perspect Med Educ. 2020;9:181–5.
doi: 10.1007/s40037-020-00592-2
Rose S. Medical student education in the time of COVID-19. JAMA. 2020;323:2131–2.
doi: 10.1001/jama.2020.5227
Emanuel EJ, et al. Fair allocation of scarce medical resources in the time of COVID-19. N Engl J Med. 2020;382:2049–55.
doi: 10.1056/NEJMsb2005114
Luong V, Burm S, Bogie B, et al. A phenomenological study of the impact of COVID-19 on the medical education community. Med Educ. 2022; In press.
Freire P. Pedagogy of the oppressed: 50th anniversary edition. 4th ed. New York: Bloomsbury Academic; 2018. p. 232.
Walsh K. Medical education: a new pedagogy of the oppressed? Med Teach. 2014;36:175–6.
doi: 10.3109/0142159X.2013.826795
Cavanagh A, Vanstone M, Ritz S. Problems of problem-based learning: towards transformative critical pedagogy in medical education. Perspect Med Educ. 2019;8:38–42.
doi: 10.1007/s40037-018-0489-7
DasGupta S, et al. Medical education for social justice. Paulo Freire revisited. J Med Humanit. 2006;27:245–51.
doi: 10.1007/s10912-006-9021-x
Halman M, Baker L, Ng S. Using critical consciousness to inform health professions education: a literature review. Perspect Med Educ. 2017;6:12–20.
doi: 10.1007/s40037-016-0324-y
Kumagai AK, Lypson ML. Beyond cultural competence: critical consciousness, social justice and multicultural education. Acad Med. 2009;84:782–7.
doi: 10.1097/ACM.0b013e3181a42398
Thomas A, Kuper A, Chin-Yee B, Park M. What is “shared” in shared decision-making? Philosophical perspectives, epistemic justice, and implications for health professions education. J Eval Clin Pract. 2020;26:409–18.
doi: 10.1111/jep.13370
Zaidi Z, Razack S, Kumagai AK. Professionalism revisited during the pandemics of our time: COVID-19 and racism. Perspect Med Educ. 2021;10:238–44.
doi: 10.1007/s40037-021-00657-w
Varpio L, Aschenbrener C, Bates B. Tackling wicked problems: how theories of agency can provide new insights. Med Educ. 2017;51:353–65.
doi: 10.1111/medu.13160
Sukhera J, Watling C. A framework for integrating implicit bias recognition into health professions education. Acad Med. 2018;93:35–40.
doi: 10.1097/ACM.0000000000001819
Cleland JA, Patterson F, Hanson MD. Thinking of selection and widening access as complex and wicked problems. Med Educ. 2018;52:1228–39.
doi: 10.1111/medu.13670
Eckleberry-Hunt J, et al. Changing the conversation from burnout to wellness: physician wellbeing in residency training programs. J Grad Med Educ. 2009;1:225–30.
doi: 10.4300/JGME-D-09-00026.1
Paton M, Naidu T, Wyatt TR, et al. Dismantling the master’s house: new ways of knowing for equity and social justice in health professions education. Adv Health Sci Educ Theory Pract. 2020;25:1107–26.
doi: 10.1007/s10459-020-10006-x
Sharma M, Kuper A. The elephant in the room. Talking race in medical education. Adv Health Sci Educ Theory Pract. 2020;22:761–4.
doi: 10.1007/s10459-016-9732-3
Vanstone M, Grierson L. Thinking about social power and hierarchy in medical education. Med Educ. 2021;56:1–7.
Forgy Borlik M, Godoy SM, Wadell PM, et al. Women in academic psychiatry: inequities, barriers and promising solutions. Acad Psychiatry. 2021;45:110–9.
doi: 10.1007/s40596-020-01389-5
Kincheloe JL. Critical pedagogy in the twenty-first century: evolution for survival. In: McLaren P, Kincheloe JL, editors. Critical pedagogy: where are we now? New York: Peter Lang; 2007. pp. 9–43.
Allen RL. Whiteness and critical pedagogy. Educ Philos Theory. 2004;36:121–36.
doi: 10.1111/j.1469-5812.2004.00056.x
Hooks B. Teaching to transgress: education as the practice of freedom. New York: Routledge; 1994.
Weiler K. Freire and a feminist pedagogy of difference. Harv Educ Rev. 1991;61:449–75.
doi: 10.17763/haer.61.4.a102265jl68rju84
Tuck E, Yang KW. Decolonization is not a metaphor. Decol Indig Educ Soc. 2012;1:1–40.
Praxis and praxis development: about this book. In: Kemmis S, Smith TJ, editors. Enabling praxis: challenges for education. The Netherlands: Sense Publishers; 2008. pp. 3–14.
Bambra C, et al. The COVID-19 pandemic and health inequalities. J Epidemiol Community Health. 2020;74:964–8.
Sukhera J, et al. Structural distress: experiences of moral distress related to structural stigma during the COVID-19 pandemic. Perspect Med Educ. 2021;10:222–9.
doi: 10.1007/s40037-021-00663-y
Menon A, et al. Medical students are not essential workers: examining institutional responsibility during the COVID-19 pandemic. Acad Med. 2020;95:1149–51.
doi: 10.1097/ACM.0000000000003478
Schindler BA, et al. The impact of the changing health care environment on the health and well-being of faculty at four medical schools. Acad Med. 2006;81:27–34.
doi: 10.1097/00001888-200601000-00008
Shanafelt TD, et al. Burnout and career satisfaction among American surgeons. Ann Surg. 2009;250:463–70.
doi: 10.1097/SLA.0b013e3181ac4dfd
Shanafelt TD, Sloan JA, Habermann TM. The well-being of physicians. Am J Med. 2003;114:513–9.
doi: 10.1016/S0002-9343(03)00117-7
Dworkin A, Akintayo T, Calem D, et al. Life during the pandemic: an international photo-elicitation study with medical students. BMC Med Educ. 2021;21:1–16.
doi: 10.1186/s12909-021-02684-x
Rabow MW, et al. Witnesses and victims both: healthcare workers and grief in the time of COVID-19. J Pain Symptom Manage. 2021;62:647–56.
doi: 10.1016/j.jpainsymman.2021.01.139
Klasen JM, Lingard LA. Allowing failure for educational purposes in postgraduate clinical training: a narrative review. Med Teach. 2019;41:1263–9.
doi: 10.1080/0142159X.2019.1630728
Daniel M, Gordon M, Patricio M, et al. An update on developments in medical education in response to the COVID-19 pandemic: a BEME scoping review: BEME guide no. 64. Med Teach. 2021;43:253–71.
doi: 10.1080/0142159X.2020.1864310
Klasen JM, Meienberg A, Bogie BJM. Medical student engagement during COVID-19: lessons learned and areas for improvement. Med Educ. 2020;55:115–8.
doi: 10.1111/medu.14405
Bourdieu P. The forms of capital. In: Richardson J, editor. Handbook of theory and research for the sociology of education. New York: Greenwood; 1986. pp. 241–58.
Bourdieu P. The logic of practice. Stanford, CA: Stanford University Press; 1990. p. 166.
doi: 10.1515/9781503621749
Brubaker L. Women physicians and the COVID-19 pandemic. JAMA. 2020;324:835–6.
doi: 10.1001/jama.2020.14797
Centre for Addiction and Mental Health. https://www.camh.ca/en/camh-news-and-stories/covid-19-pandemic-adversely-affecting-mental-health-of-women-and-people-with-children . Accessed 14 Oct 2020.
Sriharan A, Ratnapalan S, Tricco AC,et al. Occupational stress, burnout, and depression in women in healthcare during COVID-19 pandemic: rapid scoping review. Front Glob Womens Health. 2020;1:1–8.
doi: 10.3389/fgwh.2020.596690
D’Armiento J, et al. Achieving women’s equity in academic medicine: challenging the standards. Lancet. 2019;393:e15–e6.
doi: 10.1016/S0140-6736(19)30234-X
Lautenberger DM, Dandar VM. The state of women in academic medicine 2018–2019: exploring pathways to equity. United States: Association of American Medical Colleges; 2020. p. 49.
Tricco AC, et al. Advancing gender equity in medicine. Can Med Assoc J. 2021;193:E244–50.
doi: 10.1503/cmaj.200951
Boncori I. The never-ending shift: a feminist reflection on living and organizing academic lives during the coronavirus pandemic. Gend Work Organ. 2020;27:677–82.
doi: 10.1111/gwao.12451
Varpio L, et al. Attaining full professor: women’s and men’s experiences in medical education. Med Educ. 2021;55:582–94.
doi: 10.1111/medu.14392
Nixon SA. The coin model of privilege and critical allyship: implications for health. BMC Public Health. 2019;19:1–13.
doi: 10.1186/s12889-019-7884-9
Ng S, Wright SR, Kuper A. The divergence and convergence of critical reflection and critical reflexivity: implications for health professions education. Acad Med. 2019;94:1122–8.
doi: 10.1097/ACM.0000000000002724
Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323:2133–4.
doi: 10.1001/jama.2020.5893