Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Why positive role models are essential in medical education

Robert Centor, MD
Education
November 4, 2017
Share
Tweet
Share

In the 70s when I trained, we had no add-on curricula; we had no milestones; we had little interference from governing bodies.  What we did have were role models.

In the current century, when I talk with students and residents (and I do that very often) they talk about what they see or do not see from their attending physicians and fellow residents.  The carefully constructed curricula result from excellent intentions, but role models defeat those curricula every time.

If we want our learners to show respect for diverse patients; if we want our learners to understand the struggle that many patients have with drug costs; if we want our learners to make decisions based on patient preferences, then we must have clinician educators who embody those attributes.

A few months ago, we had an elderly patient who had spent six days in the ICU.  She had a complex medical history.  She and the family wanted her to go home.  She wanted to go home to die, because she wanted to die at home.  She wanted to go to church one more time.  She and the family were unanimous on her end of life decision making.  So we discharged her with hospice immediately.

The residents told me that they had not seen such a conversation previously.  We listened and reacted in her best interest.  We resisted suggestions that she go to rehab or a nursing home, because the family wanted to have her for end of life.  The family members were remarkable.  They were sad that she was dying, but respected her feeling that her time had come.  She had had a great life, and now she wanted to be reunited with her husband.

Our learners need to learn from what we do.  Talking the talk never achieves much.  Walking the walk speaks louder than words.

Medical education needs investment in these role models.  At each medical school, you know who they are.  We must give them time to show our learners how to be a physician.  What we do at the bedside matters.  We influence our learners every day.  Unfortunately, the learners tell us too many stories of negative role models.

So we can write curricula, develop milestones, but if we do not nurture and support our role models, we will never achieve our goals.

Robert Centor is an internal medicine physician who blogs at DB’s Medical Rants.

Image credit: Shutterstock.com

Prev

I am the "same-same but different"

November 4, 2017 Kevin 0
…
Next

When a diet is changed, a behavior is changed first

November 4, 2017 Kevin 0
…

Tagged as: Medical school

Post navigation

< Previous Post
I am the "same-same but different"
Next Post >
When a diet is changed, a behavior is changed first

ADVERTISEMENT

More by Robert Centor, MD

  • When the problem representation and the illness script do not match

    Robert Centor, MD
  • Think of diagnostic excellence as playing smooth jazz

    Robert Centor, MD
  • When constipation pain was worse than cancer pain

    Robert Centor, MD

Related Posts

  • The role of medical education in perpetuating health care disparities

    Anonymous
  • COVID-19, medical education, and the role of medical students around the world

    Clarissa C. Ren, Sara K. Hurley, Matthew A. Crane, Ayumi S. Tomishige, and Masato Fumoto
  • Why medical writing is essential to medicine

    Steven Zhang, MD
  • Why are medical students non-essential?

    David Chen
  • The medical education system hates families

    Anonymous
  • America’s inadequate LGBTQ medical education

    Haidn Foster

More in Education

  • How Filipino cultural values shape silence around mental health

    Victor Fu and Charmaigne Lopez
  • Why leadership training in medicine needs to start with self-awareness

    Amelie Oshikoya, MD, MHA
  • Learning medicine in the age of AI: Why future doctors need digital fluency

    Kelly D. França
  • Why health care must adopt a harm reduction model

    Dylan Angle
  • Gen Z’s DIY approach to health care

    Amanda Heidemann, MD
  • What street medicine taught me about healing

    Alina Kang
  • Most Popular

  • Past Week

    • How hospitals can prepare for CMS’s new patient safety rule

      Kim Adelman, PhD | Conditions
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions
    • Exploring the science behind burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • Apprenticeship reshapes medical training for confident clinicians

      Claude E. Lett III, PA-C | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • How hospitals can prepare for CMS’s new patient safety rule

      Kim Adelman, PhD | Conditions
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions
    • Exploring the science behind burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • Apprenticeship reshapes medical training for confident clinicians

      Claude E. Lett III, PA-C | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...