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.
Keywords: behavioural sciences and social sciences; education; focus groups; medical; undergraduate.
Relevant behavioural and social science for medical undergraduates: a comparison of specialist and non-specialist educators.Med Educ. 2006 Oct;40(10):1020-6. doi: 10.1111/j.1365-2929.2006.02562.x. Med Educ. 2006. PMID: 16987194
Exploring challenges in implementing a health systems science curriculum: a qualitative analysis of student perceptions.Med Educ. 2016 May;50(5):523-31. doi: 10.1111/medu.12957. Med Educ. 2016. PMID: 27072441
Designing a cultural competency curriculum: asking the stakeholders.Hawaii Med J. 2010 Jun;69(6 Suppl 3):31-4. Hawaii Med J. 2010. PMID: 20539999 Free PMC article.
Role of behavioural and social sciences in medical education.Curr Opin Psychiatry. 2009 Mar;22(2):184-7. doi: 10.1097/YCO.0b013e328327b3b6. Curr Opin Psychiatry. 2009. PMID: 19553873 Review.
Improving Medical Education: Enhancing the Behavioral and Social Science Content of Medical School Curricula.Washington (DC): National Academies Press (US); 2004. National Academies Press (US). 2004. PMID: 20669422 Free Books & Documents. Review.
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