scholarly journals A collaborative clinical case conference model for teaching social and behavioral science in medicine: an action research study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Junichiro Miyachi ◽  
Junko Iida ◽  
Yosuke Shimazono ◽  
Hiroshi Nishigori

Abstract Background Effective social and behavioral sciences teaching in medical education requires integration with clinical experience, as well as collaboration between social and behavioral sciences experts and clinical faculty. However, teaching models for achieving this integration have not been adequately established, nor has the collaboration process been described. This study aims to propose a collaborative clinical case conference model to integrate social and behavioral sciences and clinical experience. Additionally, we describe how social and behavioral science experts and clinical faculty collaborate during the development of the teaching method. Methods A team of medical teachers and medical anthropologists planned for the development of a case conference based on action research methodology. The initial model was planned for a 3-h session, similar to a Clinicopathological Conference (CPC) structure. We evaluated each session based on field notes taken by medical anthropologists and post-session questionnaires that surveyed participants’ reactions and points of improvement. Based on the evaluation, a reflective meeting was held to discuss revisions for the next trial. We incorporated the development process into undergraduate medical curricula in clinical years and in a postgraduate and continuous professional development session for residents and certified family physicians in Japan. We repeated the plan-act-observe-reflection process more than 15 times between 2015 and 2018. Results The development of the collaborative clinical case conference model is summarized in three phases: Quasi-CPC, Interactive, and Co-constructive with unique structures and underlying paradigms. The model successfully contributed to promoting the participants’ recognition of the clinical significance of social and behavioral sciences. The case preparation entailed unique and significant learning of how social and behavioral sciences inform clinical practice. The model development process promoted the mutual understanding between clinical faculty and anthropologists, which might function as faculty development for teachers involved in social and behavioral sciences teaching in medical education. Conclusions The application of appropriate conference models and awareness of their underlying paradigms according to educational situations promotes the integration of social and behavioral sciences with clinical medicine education. Faculty development regarding social and behavioral sciences in medical education should focus on collaboration with scholars with different paradigmatic orientations.

2021 ◽  
Author(s):  
Junichiro Miyachi ◽  
Junko Iida ◽  
Yosuke Shimazono ◽  
Hiroshi Nishigori

Abstract Background: Effective social and behavioral sciences teaching in medical education requires integration with clinical experience, as well as collaboration with social and behavioral sciences experts and clinical faculties. However, teaching models for achieving this integration have not been adequately established, nor has the collaboration process been described. This study aims to propose a collaborative clinical case conference model to integrate social and behavioral sciences and clinical experience. Additionally, we describe how social and behavioral science experts and clinical faculties collaborate during the development of the teaching method.Methods: A team of clinical teachers and medical anthropologists planned for the development of a case conference based on action research methodology. The initial model planned for a 3-hour session, similar to the Clinicopathological Conference structure. We evaluated each session based on fieldnotes taken by medical anthropologists, and post-session questionnaires that surveyed participants’ reactions and points of improvements. Based on the evaluation, a reflective meeting was held to discuss revisions for the next trial. We incorporated the development process into undergraduate medical curricula in clinical years and in a postgraduate and continuous professional development session for residents and certified family physicians in Japan. We repeated the plan-act-observe-reflection process more than 15 times between 2015 and 2018.Results: The development of the collaborative clinical case conference model is summarized in three phases: Quasi-CPC, Interactive, and Co-constructive with unique structures and underlying paradigms. The model successfully contributed to promoting the participants’ recognition of the clinical significance of social and behavioral sciences. The case preparation entailed a unique, significant learning of how social and behavioral sciences inform clinical practice. The model development process promoted the mutual understanding between clinical faculties and anthropologists, which might function as faculty development for teachers involved in social and behavioral sciences teaching in medical education. Conclusions: The application of fitting conference models and awareness of their underlying paradigm according to educational situations could promote the integration of social and behavioral sciences with clinical medicine education. Faculty development in social and behavioral sciences in medical education should focus on collaboration with scholars with different paradigmatic orientations.


2020 ◽  
Author(s):  
Yuki Yamada

In the COVID-19 situation, social and behavioral science evidence is accumulating rapidly through online data collection, but the options to share and publish this information are scarce. As a remedy, I recommend the adoption of micropublishing in the fields of social and behavioral sciences. While micropublishing has been gaining popularity, it is not yet widely accepted or utilized by existing academic journals. Greater implementation would improve the availability of data in the immediate COVID-19 era and establish a post-COVID-19 publishing methodology that could increase researcher and practitioner engagement in real time. I recommend micropublishing in a specific manner that bifurcates an experiment’s methodology or survey method from the subsequently published data based on that experiment protocol. Published findings could be presented in a series and edited as new data emerges. This publishing system promotes cumulative science. To provide a visual example that supports my argument, I created a demo journal with sample papers organized according to the structure I recommend. The demo journal has features—except a Digital Object Finder (DOI)—that make it possible to publish social and behavioral sciences research. It could be replicated for a newly established journal. Alternatively, existing journals could add a section dedicated to micropublication.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Yuki Yamada

In the COVID-19 situation, social and behavioral science evidence is accumulating rapidly through online data collection, but the options to share and publish this information are scarce. As a remedy, I recommend the adoption of micropublishing in the fields of social and behavioral sciences. While micropublishing has been gaining popularity, it is not yet widely accepted or utilized by existing academic journals. Greater implementation would improve the availability of data in the immediate COVID-19 era and establish a post-COVID-19 publishing methodology that could increase researcher and practitioner engagement in real time. I recommend micropublishing in a specific manner that bifurcates an experiment’s methodology or survey method from the subsequently published data based on that experiment protocol. Published findings could be presented in a series and edited as new data emerges. This publishing system promotes cumulative science. To provide a visual example that supports my argument, I created a demo journal with sample papers organized according to the structure I recommend. The demo journal has features—except a Digital Object Finder (DOI)—that make it possible to publish social and behavioral sciences research. It could be replicated for a newly established journal. Alternatively, existing journals could add a section dedicated to micropublication.


2009 ◽  
Vol 6 (4) ◽  
pp. 398-407
Author(s):  
Brian Beaton

This experimental essay traces the rise of phone-based data collection within the American social and behavioral sciences over the last third of the twentieth century. Exploring aural cultures of surveillance and the eroticization of abstract data, the essay aims to disrupt the privileged status granted to optics within the field of Surveillance Studies-- particularly when it comes to questions of sex and sexualization. Written in the style of the scripts commonly used when conducting phone-based research, the essay positions you (the reader) as a staff interviewer collecting data for a fictional present-day study regarding modern sex practices. Today, the focus of your study is the curious case of 'databaters': a term used for the male masturbators who, as a means to elicit intimate information from unsuspecting call recipients, pretend to be social and behavioral scientists conducting exactly this sort of phone-based research. By the mid-1970s, databaters became one of the most common types of problem calls reported by American women. While the background information provided within your script might also reveal a persistent tradition of intimate transgressions within 'real' phone-based social and behavioral science, any such effect is entirely inadvertent.


Author(s):  
William T. Riley ◽  
Arthur Lupia ◽  
William Klein ◽  
Fay L. Cook

With support from federal agency members of the United States National Science and Technology Council’s Social and Behavioral Science subcommittee (SBS), the National Academies of Sciences, Engineering and Medicine (NASEM) held a workshop in June, 2017 (NASEM, 2017) on Graduate Training in the Social and Behavioral Sciences to identify how SBS graduate education could be adapted to changing workforce needs. Key points from this workshop included greater training in interdisciplinary team science, communicating science, and quantitative skills as well as increasing diversity of SBS trainees and graduates. In response to this workshop, the SBS subcommittee describes the relevance of the key points from the workshop on the social and behavioral science workforce needs in the United States (US) federal government and the efforts of the various federal agencies to augment graduate training to address important research, practice, policy and administrative needs of the government.


2020 ◽  
Vol 54 (11) ◽  
pp. 805-826 ◽  
Author(s):  
Eric Hekler ◽  
Jasmin A Tiro ◽  
Christine M Hunter ◽  
Camille Nebeker

Abstract Background In 2015, Collins and Varmus articulated a vision for precision medicine emphasizing molecular characterization of illness to identify actionable biomarkers to support individualized treatment. Researchers have argued for a broader conceptualization, precision health. Precision health is an ambitious conceptualization of health, which includes dynamic linkages between research and practice as well as medicine, population health, and public health. The goal is a unified approach to match a full range of promotion, prevention, diagnostic, and treatment interventions to fundamental and actionable determinants of health; to not just address symptoms, but to directly target genetic, biological, environmental, and social and behavioral determinants of health. Purpose The purpose of this paper is to elucidate the role of social and behavioral sciences within precision health. Main body Recent technologies, research frameworks, and methods are enabling new approaches to measure, intervene, and conduct social and behavioral science research. These approaches support three opportunities in precision health that the social and behavioral sciences could colead including: (a) developing interventions that continuously “tune” to each person’s evolving needs; (b) enhancing and accelerating links between research and practice; and (c) studying mechanisms of change in real-world contexts. There are three challenges for precision health: (a) methods of knowledge organization and curation; (b) ethical conduct of research; and (c) equitable implementation of precision health. Conclusions Precision health requires active coleadership from social and behavioral scientists. Prior work and evidence firmly demonstrate why the social and behavioral sciences should colead with regard to three opportunity and three challenge areas.


Author(s):  
Toby Warden ◽  
Ellen J. Bass ◽  
Michael J. Kalsher ◽  
Chen Ling ◽  
Marita O’Brien

The National Academies Board on Human-Systems Integration (BOHSI) has organized this session. An initial presentation by the Staff Director and the Chair of BOHSI will provide an overview of the Academies and BOHSI. Then the panel chair will present the findings of the 2017 National Academies consensus study entitled “Integrating Social and Behavioral Sciences Within the Weather Enterprise”, a collaborative effort overseen by the Board on Atmospheric Sciences and Climate and the Board on Human-Systems Integration. The presentation will include discussion of the critical need for integrating social and behavioral sciences into the weather enterprise. It will also include a summary of relevant research, private sector activities, current research to operations progress, data collection activities, funding support and barriers to progress. It will summarize research gaps and present a framework to sustainably use social and behavioral science research in the weather enterprise. Panelists will address issues related to future opportunities for human factors researchers and practitioners and will engage the audience in a discussion of these issues.


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