The impact of facilitation of small-group discussions of psychosocial topics in medicine on faculty growth and development.
OBJECTIVE
To use qualitative analysis of interview transcripts with clinician-educators who facilitate small-group discussions on psychosocial themes--including doctoring--to answer the question, "What impact does facilitating small-group discussions of the patient's experience with chronic illness, the doctor-patient relationship, and doctoring have on faculty instructors' attitudes regarding their roles as clinicians and teachers?"


METHODS
In 2006, in-depth, face-to-face interviews using an open-ended question format were conducted with individual faculty small-group instructors teaching in the Family Centered Experience and Longitudinal Case Studies courses at the University of Michigan Medical School. Interview transcripts were analyzed using grounded theory methodology to identify emerging themes. Accuracy of interpretations and saturation of themes was confirmed by repeated contextual reading of the transcripts.


RESULTS
Several major thematic codes emerged from the data. Facilitation of small-group discussions of psychosocial topics and doctoring fostered reflective approaches to patient care and teaching; enhanced interpersonal relationships between facilitators and their students, colleagues, and patients; and acted as a source of fulfillment and renewal among faculty facilitators.


CONCLUSIONS
Small-group teaching of the art of doctoring may stimulate personal and professional growth among faculty facilitators and renewed interest in teaching and patient care.
Kumagai
Arno K
AK
University of Michigan Medical School, Ann Arbor, Michigan 48109-0726, USA. akumagai@umich.edu
White
Casey B
CB
Ross
Paula T
PT
Perlman
Rachel L
RL
Fantone
Joseph C
JC
D000046:Academic Medical Centers / Q000458:organization & administration; D004501:Education, Medical / Q000379:methods; D004521:Educational Measurement; D005180:Faculty, Medical / Q000458:organization & administration*; D017144:Focus Groups / Q000379:methods; D006379:Helping Behavior; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007398:Interpersonal Relations; D007407:Interviews as Topic; D015397:Program Evaluation; D011584:Psychology; D012577:Schools, Medical / Q000458:organization & administration; D012932:Social Facilitation; D011795:Surveys and Questionnaires; D014481:United States