Submission ID 78326
| Code | OG-2-3 |
|---|---|
| At the end of this workshop, participants will be able to: | |
| Category | Medical Education |
| Type | Oral |
| Will the presenter be a: | Student |
| Title | Critical Discourse Analysis of Patient Narratives in University of Toronto Case-Based Learning |
| Background/Purpose | The University of Toronto Medical School Pre-clerkship (year one and year two) curriculum features a 72-week case base learning (CBL) module series. These CBLs guide weekly seminar discussions and are intended to center patient narratives in the weekly integration of biomedical lectures and e-modules. The study applied a critical discourse analysis of several CBLs to draw out tensions between the intended aims and impacts of CBLs. |
| Methods | We sampled twelve CBLs from the 72-week curriculum, involving two reviewers per CBL. The reviewers undertook a critical discourse analysis of the patient narratives to distill several common tensions. Four themes were identified. |
| Results | Analysis of 12 case-base learning modules led to identifying the following four tensions. 1. Emphasis on patient-centered care: are physicians depicted as engaging in patient-centered care? Are writers engaging in patient-centered writing? 2. Respecting or Dismissal of Patient Autonomy: are patients identified with diseases? 3. Exploration of Personal as Political: to what extent do CBLs explore political underpinnings of structural barriers? 4. Discussing of Quality Improvement: are individual instances learning points for structural more positive structural outcomes? |
| Discussion | A deeper appreciation of tensions in the CBL curriculum enables further refinement of patient narratives. Stage two of our study will involve interviewing the writers, tutors, and learners of the CBLs to draw out key themes in the implementation of CBLs to center patient narratives. The interviews have already obtained research ethics board approval and are being schedule for winter 2022. |
| Keyword 1 | Critical Discourse Analysis |
| Keyword 2 | Patient Narratives |
| Keyword 3 | Case-Based Learning |
| Abstract content most relevant to: (check all that apply) | Undergraduate Medical Education |
| Abstract Track - First Choice | Humanities in Medicine |
| Authors | Lunan Zhao Neha Malhotra Matthew Cho Ariel Lefkowitz |
