Transformative Learning and Critical Consciousness: A Model for Preclerkship Medical School Substance Use Disorder Education.
dc.contributor.author | Muzyk, Andrew | |
dc.contributor.author | Mantri, Sneha | |
dc.contributor.author | Mitchell, Phillip | |
dc.contributor.author | Velkey, J Matthew | |
dc.contributor.author | Reisinger, Deborah | |
dc.contributor.author | Andolsek, Kathryn | |
dc.date.accessioned | 2023-05-01T22:08:01Z | |
dc.date.available | 2023-05-01T22:08:01Z | |
dc.date.issued | 2023-04 | |
dc.date.updated | 2023-05-01T22:07:59Z | |
dc.description.abstract | ObjectivePreparing medical students to provide compassionate person-centered care for people with substance use disorders (SUD) requires a re-envisioning of preclerkship SUD education to allow for discussions on stigma, social determinants of health, systemic racism, and healthcare inequities. The authors created a curricular thread that fosters the development of preclerkship medical students' critical consciousness through discussion, personal reflection, and inclusion of lived experiences.MethodsThe authors used transformative learning theories to design and implement this thread in the 2021-2022 academic year in the Duke University School of Medicine preclerkship curriculum. Content included lectures, person-centered workshops, case-based learning, motivational interviewing of a standardized patient, and an opioid overdose simulation. Community advocates and people with SUD and an interdisciplinary faculty were involved in the thread design and delivery and modeled their lived experiences. Students wrote a 500-word critical reflection essay that examined their personal beliefs in the context of providing care for people with SUD.ResultsOne hundred and twenty-two students submitted essays and 30 (25%) essays were randomly selected for a qualitative analysis. Seven major themes emerged: race/racism, systemic barriers, bias and stigma, personal growth/transformation, language or word usage, future plans for advocacy, and existing poor outcomes. Students were able to link material with prior knowledge and experiences, and their attitudes towards advocacy and goals for future practice were positively influenced.ConclusionBy aligning the thread design with the principals of transformative learning, students developed their critical consciousness toward people with SUD and cultivated a holistic understanding of SUD. | |
dc.identifier | 10.1007/s40596-022-01737-7 | |
dc.identifier.issn | 1042-9670 | |
dc.identifier.issn | 1545-7230 | |
dc.identifier.uri | ||
dc.language | eng | |
dc.publisher | Springer Science and Business Media LLC | |
dc.relation.ispartof | Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry | |
dc.relation.isversionof | 10.1007/s40596-022-01737-7 | |
dc.subject | Humans | |
dc.subject | Substance-Related Disorders | |
dc.subject | Consciousness | |
dc.subject | Curriculum | |
dc.subject | Education, Medical | |
dc.subject | Schools, Medical | |
dc.subject | Students, Medical | |
dc.title | Transformative Learning and Critical Consciousness: A Model for Preclerkship Medical School Substance Use Disorder Education. | |
dc.type | Journal article | |
duke.contributor.orcid | Muzyk, Andrew|0000-0002-6904-2466 | |
duke.contributor.orcid | Mantri, Sneha|0000-0003-4556-0522 | |
duke.contributor.orcid | Reisinger, Deborah|0000-0002-5734-4029 | |
duke.contributor.orcid | Andolsek, Kathryn|0000-0001-7994-3869 | |
pubs.begin-page | 152 | |
pubs.end-page | 158 | |
pubs.issue | 2 | |
pubs.organisational-group | Duke | |
pubs.organisational-group | School of Medicine | |
pubs.organisational-group | School of Nursing | |
pubs.organisational-group | Trinity College of Arts & Sciences | |
pubs.organisational-group | Staff | |
pubs.organisational-group | Nursing | |
pubs.organisational-group | Clinical Science Departments | |
pubs.organisational-group | Institutes and Centers | |
pubs.organisational-group | Family Medicine and Community Health | |
pubs.organisational-group | Family Medicine and Community Health, Family Medicine | |
pubs.organisational-group | Romance Studies | |
pubs.organisational-group | Institutes and Provost's Academic Units | |
pubs.organisational-group | University Institutes and Centers | |
pubs.organisational-group | Duke Global Health Institute | |
pubs.organisational-group | Duke Institute for Brain Sciences | |
pubs.organisational-group | Neurology | |
pubs.organisational-group | Neurology, Movement Disorders | |
pubs.organisational-group | Center for the Study of Aging and Human Development | |
pubs.organisational-group | Medical Education | |
pubs.publication-status | Published | |
pubs.volume | 47 |
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