Wellness Skills for Medical Learners and Teachers: Perspective Taking and Cognitive Flexibility

MedEdPORTAL. 2018 Jan 26:14:10674. doi: 10.15766/mep_2374-8265.10674.

Abstract

Introduction: Wellness insufficiency is a widespread problem in medical training programs. Recent evidence reveals that one factor contributing to physician wellness is cognitive flexibility, defined as being able to hold multiple views or to reframe a thought, situation, or perspective. While cognitive flexibility is a neurologically based, teachable skill, there is little guidance as to how to build this skill in learners (and teachers).

Methods: This workshop introduces the concept and relevance of cognitive flexibility as a wellness skill and then utilizes the novel methodology of reverse role-play through simulated stressful everyday encounters in medical education between teachers and learners.

Results: This workshop successfully improved cognitive flexibility scores in a sample of 15 family medicine residents, according to measures on the Cognitive Flexibility Scale.

Discussion: By incorporating cognitive flexibility and perspective-taking skill instruction, this resource has implications for reducing conflict and stress, as well as improving the wellness levels of medical students, residents, and faculty alike.

Keywords: Cognitive Flexibility; Conflict Resolution; Interpersonal Communication; Negotiating; Perspective Taking; Physician Wellness; Residency Education.

MeSH terms

  • Burnout, Professional / prevention & control
  • Burnout, Professional / psychology
  • Cognition*
  • Connecticut
  • Curriculum / trends
  • Education, Medical, Undergraduate / methods
  • Education, Medical, Undergraduate / trends
  • Health Education / methods*
  • Humans
  • Mental Health*
  • Primary Health Care / trends
  • Risk Reduction Behavior*
  • Students, Medical / psychology*