The Psychology of Shame: A Resilience Seminar for Medical Students.

Bynum, William E; Uijtdehaage, Sebastian; Artino, Anthony R; Fox, James W

The Psychology of Shame: A Resilience Seminar for Medical Students.

dc.contributor.author	Bynum, William E
dc.contributor.author	Uijtdehaage, Sebastian
dc.contributor.author	Artino, Anthony R
dc.contributor.author	Fox, James W
dc.date.accessioned	2021-02-01T15:17:45Z
dc.date.available	2021-02-01T15:17:45Z
dc.date.issued	2020-12-24
dc.date.updated	2021-02-01T15:17:45Z
dc.description.abstract	Introduction Shame is a powerful emotion that can cause emotional distress, impaired empathy, social isolation, and unprofessional behavior in medical learners. However, interventions to help learners constructively engage with shame are rare. This module educated medical students about shame, guided them through an exploration of their shame experiences, and facilitated development of shame resilience. Methods In this 2-hour workshop, clinical-year medical students were guided through the psychology of shame through didactic slides. Next, a small panel of volunteer students, recruited and coached prior to the workshop, shared reflections on the content, including their shame experiences during medical school. This was followed by didactic slides outlining strategies to promote shame resilience. Participants then broke into faculty-led small groups to discuss session content. The module included a small-group facilitator guide for leading discussions on shame, didactic slides, discussion prompts, an evaluation tool, and a film entitled The Shame Conversation that was created after the initial workshop. Results A retrospective pre/postsurvey revealed statistically significant increases in: (1) importance ascribed to identifying shame in one's self or colleagues, (2) confidence in one's ability to recover from a shame reaction, and (3) comfort in reaching out to others when shame occurs. Analysis of open-ended questions showed that students felt the seminar would enhance future resilience by helping them identify and normalize shame, distinguish shame from guilt, and reach out to others for help. Discussion This workshop appears to prepare students to more constructively engage with shame when it occurs in medical training.
dc.identifier	11052
dc.identifier.issn	2374-8265
dc.identifier.issn	2374-8265
dc.identifier.uri	https://hdl.handle.net/10161/22292
dc.language	eng
dc.publisher	Association of American Medical Colleges
dc.relation.ispartof	MedEdPORTAL : the journal of teaching and learning resources
dc.relation.isversionof	10.15766/mep_2374-8265.11052
dc.subject	Emotion
dc.subject	Error
dc.subject	Reflection/Narrative Medicine
dc.subject	Resilience
dc.subject	Shame
dc.subject	Transition Periods
dc.subject	Well-Being/Mental Health
dc.subject	Wellness
dc.title	The Psychology of Shame: A Resilience Seminar for Medical Students.
dc.type	Journal article
duke.contributor.orcid	Bynum, William E\|0000-0003-3796-9301
pubs.begin-page	11052
pubs.issue	1
pubs.organisational-group	School of Medicine
pubs.organisational-group	Duke
pubs.organisational-group	Family Medicine and Community Health, Family Medicine
pubs.organisational-group	Family Medicine and Community Health
pubs.organisational-group	Clinical Science Departments
pubs.publication-status	Published
pubs.volume	16