TY - JOUR
T1 - A New Program in Pain Medicine for Medical Students
T2 - Integrating Core Curriculum Knowledge with Emotional and Reflective Development
AU - Murinson, Beth B.
AU - Nenortas, Elizabeth
AU - Mayer, Roberts Sam
AU - Mezei, Lina
AU - Kozachik, Sharon
AU - Nesbit, Suzanne
AU - Haythornthwaite, Jennifer A.
AU - Campbell, James N.
N1 - Funding Information:
The authors wish to acknowledge the contributions of the following to the development of this curriculum: Drs. Rebecca Pearlman, Aakash Agarwal, Sabine Kost–Byerly, and Stuart Grossman; and members of the Pain Curriculum Development Team: Drs. Myron Yaster, Richard Meyer, Gayle Page, and Albert Wu. The work was supported through grants (to BBM) from the Mayday Fund and the Milbank Foundation for Rehabilitation Research. Dr. Murinson was the recipient of a NINDS Mentored Career Development Award Grant, number NS048146 .
PY - 2011/2
Y1 - 2011/2
N2 - Objective. Improvements in clinical pain care have not matched advances in scientific knowledge, and innovations in medical education are needed. Several streams of evidence indicate that pain education needs to address both the affective and cognitive dimensions of pain. Our aim was to design and deliver a new course in pain establishing foundation-level knowledge while comprehensively addressing the emotional development needs in this area. Setting. One hundred eighteen first-year medical students at Johns Hopkins School of Medicine. Outcome Measures. Performance was measured by multiple-choice tests of pain knowledge, attendance, reflective pain portfolios, and satisfaction measures. Results. Domains of competence in pain knowledge included central and peripheral pain signalling, pharmacological management of pain with standard analgesic medications, neuromodulating agents, and opioids; cancer pain, musculoskeletal pain, nociceptive, inflammatory, neuropathic, geriatric, and pediatric pain. Socio-emotional development (portfolio) work focused on increasing awareness of pain affect in self and others, and on enhancing the commitment to excellence in pain care. Reflections included observations on a brief pain experience (cold pressor test), the multidimensionality of pain, the role of empathy and compassion in medical care, the positive characteristics of pain-care role models, the complex feelings engendered by pain and addiction including frustration and disappointment, and aspirations and commitments in clinical medicine. The students completing feedback expressed high levels of interest in pain medicine as a result of the course. Discussion. We conclude that a 4-day pain course incorporating sessions with pain specialists, pain medicine knowledge, and design-built elements to strengthen emotional skills is an effective educational approach. Summary. Innovations in medical education about pain are needed. Our aim was to design and deliver a new course for medical students addressing both the affective and cognitive dimensions of pain. Combining small-group sessions with pain specialists, active-learning approaches to pain knowledge, and design-built elements to strengthen emotional skills was highly effective. Wiley Periodicals, Inc..
AB - Objective. Improvements in clinical pain care have not matched advances in scientific knowledge, and innovations in medical education are needed. Several streams of evidence indicate that pain education needs to address both the affective and cognitive dimensions of pain. Our aim was to design and deliver a new course in pain establishing foundation-level knowledge while comprehensively addressing the emotional development needs in this area. Setting. One hundred eighteen first-year medical students at Johns Hopkins School of Medicine. Outcome Measures. Performance was measured by multiple-choice tests of pain knowledge, attendance, reflective pain portfolios, and satisfaction measures. Results. Domains of competence in pain knowledge included central and peripheral pain signalling, pharmacological management of pain with standard analgesic medications, neuromodulating agents, and opioids; cancer pain, musculoskeletal pain, nociceptive, inflammatory, neuropathic, geriatric, and pediatric pain. Socio-emotional development (portfolio) work focused on increasing awareness of pain affect in self and others, and on enhancing the commitment to excellence in pain care. Reflections included observations on a brief pain experience (cold pressor test), the multidimensionality of pain, the role of empathy and compassion in medical care, the positive characteristics of pain-care role models, the complex feelings engendered by pain and addiction including frustration and disappointment, and aspirations and commitments in clinical medicine. The students completing feedback expressed high levels of interest in pain medicine as a result of the course. Discussion. We conclude that a 4-day pain course incorporating sessions with pain specialists, pain medicine knowledge, and design-built elements to strengthen emotional skills is an effective educational approach. Summary. Innovations in medical education about pain are needed. Our aim was to design and deliver a new course for medical students addressing both the affective and cognitive dimensions of pain. Combining small-group sessions with pain specialists, active-learning approaches to pain knowledge, and design-built elements to strengthen emotional skills was highly effective. Wiley Periodicals, Inc..
KW - Curriculum
KW - Education
KW - Emotion
KW - Medical School
KW - Pain Medicine
KW - Pain Training Programs
KW - Teaching
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U2 - 10.1111/j.1526-4637.2010.01050.x
DO - 10.1111/j.1526-4637.2010.01050.x
M3 - Article
C2 - 21276187
AN - SCOPUS:79751520086
SN - 1526-2375
VL - 12
SP - 186
EP - 195
JO - Pain Medicine
JF - Pain Medicine
IS - 2
ER -