Medical student perceptions of a behavioural and social science curriculum
Background: In 2006, Oregon Health & Science University began implementing changes to better integrate mental health and social science into the curriculum by addressing the Institute of Medicine's (IOM's) 2004 recommendation for the inclusion of six behavioural and social
science (BSS) domains: health policy and economics, patient behaviour, physician–patient interaction, mind–body interactions, physician role and behaviour, and social and cultural issues.
Methods: We conducted three focus groups with a purposive sample of 23 fourth-year
medical students who were exposed to 4 years of the new curriculum. Students were asked to reflect upon the adequacy of their BSS training specifically as it related to the six IOM domains. The 90-minute focus groups were recorded, transcribed and analysed.
Results: Students felt
the MS1 and MS2 years of the curriculum presented a strong didactic orientation to behavioural and social science precepts. However, they reported that these principles were not well integrated into clinical care during the second two years. Students identified three opportunities to further
the inclusion of BSS in their clinical training: presentation of BSS concepts prior to relevant clinical exposure, consistent BSS skills mentoring in the clinical setting, and improving cultural congruence between aspects of BSS and biomedicine.
Conclusions: Students exposed to the
revised BSS curriculum tend to value its principles; however, modelling and practical training in the application of these principles during the second two years of medical school are needed to reinforce this learning and demonstrate methods of integrating BSS principles into practice.
BEHAVIOURAL SCIENCES AND SOCIAL SCIENCES;
Document Type: Research Article
Private Practice, Linfield College Instructor, Gresham, OR, USA
Research Associate, Department of Family Medicine, Oregon Health and Science University, Portland, OR, USA
Associate Professor, Department of Family Medicine, Oregon Health and Science University, Portland, OR, USA
Professor of Medicine, Division of Health Promotion, Oregon Health and Science University, Portland, OR, USA
Publication date: December 1, 2011
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