Skip to main content

All Medical Students should go to jail!

by Dr Ros Herbert, Health Inequalities and Medical Education SCM Course Lead (r.herbert@imperial.ac.uk)

This was the pitch made to a panel of 'Dragons' at the Society of Academic Primary Care conference in Cambridge recently. Modeled on the popular TV show, Dragons’ Den, a team made up of Giskin Day( Medical humanities Lecturer), medical student Hannah Tullett and myself, tried to persuade the panel to invest in
an innovative new module in health inequalities that has been piloted very successfully at Imperial College.

We argued that not only should medical students go to jail, but also to refugee clinics and homeless shelters – all settings in which practising medicine is particularly challenging. research shows that medical students often become less sympathetic to patients with social deprivation as they go through medical school. This is probably because these patients are most often seen in accident & emergency when problems are acute. Students have little exposure to the contexts which have led up to emergency admissions. The final year health inequalities module we have created allows students to work alongside experienced medical practitioners dealing with issues faced by people in dire circumstances.

Giskin's role in the module is to facilitate the formative assessment of this module which is to present a creative response inspired by their experiences. This part of the module is called ‘temoignage’, or ‘ethical witnessing’. The students and Giskin visit a gallery or an exhibition to see how artists tackle the tricky issue of representing suffering of others without merely appropriating their stories. Students then create their own work in any medium to capture an element of their responses to what they have encountered on the three week module. So far, students have chosen poetry, painting, music, performance, posters and leaflets to convey their responses and they have shared these with fellow students and faculty.

What happened at the Dragons’ Den? Well, our pitch caused quite a stir, and we faced down a grilling about our insistence on the value of experiential learning in this context over more traditional didactic teaching. We narrowly lost out on the investment to an app for e-management of chlamydia on the grounds that the app needed the investment (which was monopoly money, by the way) more than we did. Nevertheless, our pitch set the conference talking and our presentation, which set out the module in more depth and included Hannah reading a poem she had written about homelessness, was very well received. Thank you so much to all of you who have contributed to this module. It has and will continue to have a transformative effect on how students view community healthcare, and it is wonderful to see how students have embraced the creative element. All of the students have reported that the module has been inspirational and unforgettable.

As it has been so popular, we are now taking elective students and are planning to expand the health inequalities teaching to the third years next academic year. If you are not already involved and work with disadvantaged groups in any capacity, I would love to hear from you.

Comments

Popular posts from this blog

Brief physical activity guidance for older adults in isolation

Resources on brief physical activity guidance for older adults in isolation for patients and clinicians Giving Older Adults Brief Physical Activity Advice. Given current clinical pressures, clinicians dealing with older adults will likely have limited time, and this adapted 3As model may provide a possible structure to clinician’s advice. Ask: Permission to discuss physical activity as something that could make a difference to health and wellbeing Advise /Explain/Explore: Ask how they physical activity levels have changed and what they could do to increase it?  Agree: A plan considering what they will do, how they will do it. Try to ensure that it includes some cardiovascular, muscle and bone strengthening activities including resistance exercises, balance and co-ordination elements to the plan. Cardiovascular : Ideally the individual should be slightly out of breath when performing the activity. Aim to build to 150 minutes

Family Medicine Residency Training Program in Saudi Arabia

Dr Ahmed Al-Mujil is a Family Medicine Doctor from Saudia Arabia on a one year attachment to the Academic Dept of Primary care at Imperial.   In this blog he gives us a unique insight into Family Medicine training in Saudia Arabia. The Family Medicine Residency Training Program in Saudi Arabia was established in 1994, at which time the first edition of the curriculum was written. Since then, Family Medicine and medical education have undergone significant changes. The curriculum was revised many times, until recent adoption of the Canadian Medical Education Directive for Specialists- CanMeds competencies framework in which the “competent physician” seamlessly integrates the competencies of all seven CanMEDS Roles. (Medical expert, Collaborator, Communicator , Leader , Health Advocate, Scholar and Professional). The duration of training in Family Medicine is four years starting from the first of October every year. All trainees must go through the rotations in their training m

A warm welcome to Dr Shivani Tanna, our new Year 3 GP and CMT Course Lead!

Dr Shivani Tanna, Year 3 GP and CMT Course Lead "I am delighted to have been appointed as year 3 GP course lead. My role in the department started on the 1st March 2016 and I have now taken over as CMT course lead. Having taught on this course, I feel privileged to be able to help maintain its excellent reputation and content. I am also developing the new 10 week GP attachment in year 3 which is being piloted for 60 students from September 2016. The students have expressed great enthusiasm and interest in this and we have already reached our recruitment target. Together with plenty of input from department leads, teaching fellows, and our GP tutors, we have started developing new ideas for both the attachment and departmental teaching sessions. I am hoping this is going to be fun and rewarding for all involved.  I aim to design a course that is innovative, comprehensive and exciting. My version of “ICE”. If all goes to plan, the pilot will be rolled out