Perspective: Beyond storytelling in medicine: An encounter-based curriculum

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Heralding the 200th anniversary of Darwins birth, Randolph Nesse affirms, in the December 2008 issue of The Lancet, his vision that the basic science curricula of medical school include evolutionary biology. Nesse suggests that evolutionary biology would unite the basic science principles of the preclinical years and serve as an explanatory tool in the doctor-patient encounter.This article visits this same question, but from a different vantage. Here, the author argues that the primacy of the basic sciences in medical education sanctions medical practice based on reasoning from scientific principles. Such an approach is outdated and dangerous in the era of top-down, evidence-based medicine (EBM). The author offers a new approach to the preclinical years: encounter-based medical education, which elevates the doctor-patient encounter as the prime subject of study in medical education. The author describes the historical roots of the shift to EBM and highlights the inadequacy of problem-based learning to resolve its challenges. The article details the advantages of an encounter-based approach to medical education.

Original languageEnglish (US)
Pages (from-to)794-798
Number of pages5
JournalAcademic Medicine
Volume85
Issue number5
DOIs
StatePublished - May 2010
Externally publishedYes

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Medical Education
Curriculum
Medicine
medicine
curriculum
Evidence-Based Medicine
biology
education
science
Problem-Based Learning
subject of study
Anniversaries and Special Events
medical practice
anniversary
Medical Schools
sanction
evidence
Parturition
school
learning

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Perspective : Beyond storytelling in medicine: An encounter-based curriculum. / Prasad, Vinay.

In: Academic Medicine, Vol. 85, No. 5, 05.2010, p. 794-798.

Research output: Contribution to journalArticle

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