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Huang CD, Liao KC, Chung FT, Tseng HM, Fang JT, Lii SC, Kuo HP, Yeh SJ, Lee ST. Different perceptions of narrative medicine between Western and Chinese medicine students. BMC MEDICAL EDUCATION 2017; 17:85. [PMID: 28490362 PMCID: PMC5424351 DOI: 10.1186/s12909-017-0925-0] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2016] [Accepted: 05/04/2017] [Indexed: 05/29/2023]
Abstract
BACKGROUND Western medicine is an evidence-based science, whereas Chinese medicine is more of a healing art. To date, there has been no research that has examined whether students of Western and Chinese medicine differentially engage in, or benefit from, educational activities for narrative medicine. This study fills a gap in current literature with the aim of evaluating and comparing Western and Chinese Medicine students' perceptions of narrative medicine as an approach to learning empathy and professionalism. METHODS An initial 10-item questionnaire with a 5-point Likert scale was developed to assess fifth-year Western medical (MS) and traditional Chinese medical (TCMS) students' perceptions of a 4-activity narrative medicine program during a 13-week internal medicine clerkship. Exploratory factor analysis was undertaken. RESULTS The response rate was 88.6% (412/465), including 270 (65.5%) MSs and 142 (34.5%) TCMSs, with a large reliability (Cronbach alpha = 0.934). Three factors were extracted from 9 items: personal attitude, self-development/reflection, and emotional benefit, more favorable in terms of enhancement of self-development/reflection. The perceptions of narrative medicine by scores between the two groups were significantly higher in TCMSs than MSs in all 9-item questionnaire and 3 extracted factors. CONCLUSIONS Given the different learning cultures of medical education in which these student groups engage, this suggests that undertaking a course in Chinese medicine might enhance one's acceptance to, and benefit from, a medical humanities course. Alternatively, Chinese medicine programmes might attract more humanities-focused students.
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Affiliation(s)
- Chien-Da Huang
- Chang Gung Medical Education Research Center, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, 199 Tun Hua N. Rd, Taipei, Taiwan
- Department of Medical Education, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taipei, Taiwan
- Thoracic Medicine, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taipei, Taiwan
| | - Kuo-Chen Liao
- Chang Gung Medical Education Research Center, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, 199 Tun Hua N. Rd, Taipei, Taiwan
- Department of Medical Education, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taipei, Taiwan
- General Medicine, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taipei, Taiwan
| | - Fu-Tsai Chung
- Thoracic Medicine, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taipei, Taiwan
| | - Hsu-Min Tseng
- Chang Gung Medical Education Research Center, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, 199 Tun Hua N. Rd, Taipei, Taiwan
- Department of Health Care Management, Chang Gung University, College of Medicine, Taipei, Taiwan
| | - Ji-Tseng Fang
- Nephrology, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taipei, Taiwan
| | - Shu-Chung Lii
- Department of Medical Humanities and Social Sciences, Chang Gung University, College of Medicine, Taipei, Taiwan
| | - Han-Pin Kuo
- Thoracic Medicine, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taipei, Taiwan
| | - San-Jou Yeh
- Department of Medical Education, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taipei, Taiwan
- Cardiology, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taipei, Taiwan
| | - Shih-Tseng Lee
- Neurosurgery, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taipei, Taiwan
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Rodríguez-Reimundes E, Soler-Pujol G, Díaz CH, Dávalos-Michel M, Jost LJ, Laham G, Vilches AR. Travel for transplantation and transplant commercialism in Argentina: a 4-decade experience from a University Hospital. Clin Transplant 2014; 28:377-82. [DOI: 10.1111/ctr.12323] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/16/2014] [Indexed: 12/18/2022]
Affiliation(s)
- Ezequiel Rodríguez-Reimundes
- Nephrology and Transplantation Section; Department of Medicine; Hospital Universitario CEMIC; Buenos Aires Argentina
| | - Gervasio Soler-Pujol
- Nephrology and Transplantation Section; Department of Medicine; Hospital Universitario CEMIC; Buenos Aires Argentina
| | - Carlos H. Díaz
- Nephrology and Transplantation Section; Department of Medicine; Hospital Universitario CEMIC; Buenos Aires Argentina
| | - Mario Dávalos-Michel
- Nephrology and Transplantation Section; Department of Medicine; Hospital Universitario CEMIC; Buenos Aires Argentina
| | - Luis J. Jost
- Nephrology and Transplantation Section; Department of Medicine; Hospital Universitario CEMIC; Buenos Aires Argentina
| | - Gustavo Laham
- Nephrology and Transplantation Section; Department of Medicine; Hospital Universitario CEMIC; Buenos Aires Argentina
| | - Antonio R. Vilches
- Nephrology and Transplantation Section; Department of Medicine; Hospital Universitario CEMIC; Buenos Aires Argentina
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