Commentary: When Much Is Promised, Much Is-and Should Be-Expected

Frederic W Hafferty, Janet Hafler

Research output: Contribution to journalComment/debate

4 Citations (Scopus)

Abstract

There is much to be excited about in Riesenberg and colleagues' report-if all they promise can be delivered. But their endorsement of nonphysician medical educators' (NPMEs') remedial role in educating health professionals is excessive, even as they point out that NPMEs are only one solution to the problems facing such training, and even as they raise provocative ideas (having NPMEs function as role models for physicians in training) about the realignment of responsibilities for educating future physicians. Moreover, it is not clear how the core transformational skills for NPMEs identified in their report are tied to the broad array of educational experiences they outline. Furthermore, the venues for teaching NPMEs about education, particularly graduate schools of education, are, with some exceptions, not viewed as exemplars of educational excellence within the general university community.Flooding classrooms, clinics, and hospital wards with NPMEs, however well trained and inexpensive, is not the way to best educate the next generation of health professionals. Medical practice and medical education constitute a complex system, and medicine's culture is tribal, and intolerant of generalists and outsiders (including "educationalists"). The real issue is not NPMEs' acquisition of theory, research methods, or teaching skills so much as it is whether NPMEs possess the disciplinary independence and identity necessary to make the kinds of contributions needed within a culture that can be so seductive, dominating, and dismissive of outsiders.

Original languageEnglish (US)
Pages (from-to)978-981
Number of pages4
JournalAcademic Medicine
Volume84
Issue number8
DOIs
StatePublished - Aug 2009

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Teaching
Graduate Education
Physician's Role
health professionals
Health
tribal culture
Medical Education
Systems Analysis
physician
educator
education
school graduate
role model
medical practice
Physicians
Education
research method
Research
medicine
classroom

Cite this

Commentary : When Much Is Promised, Much Is-and Should Be-Expected. / Hafferty, Frederic W; Hafler, Janet.

In: Academic Medicine, Vol. 84, No. 8, 08.2009, p. 978-981.

Research output: Contribution to journalComment/debate

Hafferty, Frederic W ; Hafler, Janet. / Commentary : When Much Is Promised, Much Is-and Should Be-Expected. In: Academic Medicine. 2009 ; Vol. 84, No. 8. pp. 978-981.
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