Medical Education

Adaptive Systems ◽

Medical Condition ◽

Well Being ◽

Tertiary Hospital ◽

Patient Centered ◽

Semiotic Model ◽

The notion that the medical professions are grounded in sound social and philosophical commitments to human well-being and advancement is the very foundation of medicine since time in memoriam. Caring is the essential work of all health professionals, since most patients have no medical condition explainable by the mechanistic biomedical model. Health, illness, and disease, and biomedically defined disease distributions in the community follow a Pareto distribution (aka the 80/20 split) (i.e. only a minor percentage require tertiary hospital interventions). This chapter unravels important failures inherent in current medical education approaches – the misconceptions about science, the limitations inherent in the prevailing worldviews, the shaping of attitudes and behaviors resulting from social interactions in health professional institutions, and the impact of the lack of flexibility within health professional institutions. Positing that health is a personal dynamic balanced state, represented through a somato-psycho-socio-semiotic model, is the basis on which principles for a patient-centered educational approach are developed. Such a new curriculum would embrace the complex adaptive systems principle – focusing on the interdependencies between teachers and learners, allowing the curriculum to emerge over the course based on learners' clinical exposures and experiences, fostering a critical engagement with the multifaceted knowledge base of the disciplines, and most importantly, building the necessary resilience for handling, individually and collectively, the emotional demands of caring.

Advanced Research in Adult Learning and Professional Development - Advances in Higher Education and Professional Development ◽

Medical Education

10.4018/978-1-4666-4615-5.ch002 ◽

2014 ◽

pp. 55-69

Author(s):

Joachim Sturmberg

Keyword(s):

Medical Education ◽

Health Professional ◽

Adaptive Systems ◽

Medical Condition ◽

Well Being ◽

Tertiary Hospital ◽

Patient Centered ◽

Semiotic Model ◽

The notion that the medical professions are grounded in sound social and philosophical commitments to human well-being and advancement is the very foundation of medicine since time in memoriam. Caring is the essential work of all health professionals, since most patients have no medical condition explainable by the mechanistic biomedical model. Health, illness, and disease, and biomedically defined disease distributions in the community follow a Pareto distribution (aka the 80/20 split) (i.e. only a minor percentage require tertiary hospital interventions). This chapter unravels important failures inherent in current medical education approaches – the misconceptions about science, the limitations inherent in the prevailing worldviews, the shaping of attitudes and behaviors resulting from social interactions in health professional institutions, and the impact of the lack of flexibility within health professional institutions. Positing that health is a personal dynamic balanced state, represented through a somato-psycho-socio-semiotic model, is the basis on which principles for a patient-centered educational approach are developed. Such a new curriculum would embrace the complex adaptive systems principle – focusing on the interdependencies between teachers and learners, allowing the curriculum to emerge over the course based on learners’ clinical exposures and experiences, fostering a critical engagement with the multifaceted knowledge base of the disciplines, and most importantly, building the necessary resilience for handling, individually and collectively, the emotional demands of caring.

Person-centered medicine from a complex adaptive systems perspective

European Journal for Person Centered Healthcare ◽

10.5750/ejpch.v2i1.711 ◽

2014 ◽

Vol 2 (1) ◽

pp. 85 ◽

Cited By ~ 2

Author(s):

Joachim Sturmberg

Keyword(s):

Medical Care ◽

Healthcare System ◽

Adaptive Systems ◽

Health Issues ◽

Patient Centeredness ◽

Patient Centered ◽

Health And Illness ◽

Complex Adaptive ◽

Illness And Disease

Miles and Mezzich have proposed person-centered medicine as the way forward to overcome the rapidly escalating crisis of dehuminisation of medical care and the healthcare system at large. The crisis in medical care is caused by a Zeitgeist characterised by 2 themes – conquering disease and profit maximising activities. Overcoming this crisis requires a change of the prevailing worldview and its reductionist thinking about discrete diseases to a worldview that recognises the complexities arising from the interconnections and interdependencies between all facets of a person’s life – his health and illness and disease trajectories. As Kant said: each man has his particular way of being in good health.This paper presents 5 themes that argue for a complexity based framework to achieve a person/patient-centered understanding of health and healthcare: (1) health, illness and disease are complex adaptive states that impact personhood; (2) healthcare must grow health; (3) healing results from personal sense-making and must be fostered; (4) complex adaptive systems thinking allows an exploration and understanding of personal and community health issues and (5) person/patient-centeredness results in an effective and efficient healthcare system.A person/patient-centered focus, the person/patient at the centre of concern, will result in a seamlessly integrated healthcare system. Such a system will show great diversity between communities, each having emerged as a result of best adaptation to local circumstances. Such a system will have substantial benefits – for the person (in terms of staying healthy) / patient (in terms of regaining his health), the community and the economy.

Understanding health professional role integration in complex adaptive systems: a multiple-case study of physician assistants in Ontario, Canada

BMC Health Services Research ◽

10.1186/s12913-020-05087-8 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Kristen E. Burrows ◽

Julia Abelson ◽

Patricia A. Miller ◽

Mitchell Levine ◽

Meredith Vanstone

Keyword(s):

Health Professional ◽

Adaptive Systems ◽

Multiple Case Study ◽

Physician Assistants ◽

Professional Role ◽

Role Integration ◽

Complex Adaptive ◽

Multiple Case

The key role of spirituality in positive psychiatry and psychology

Spirituality and Mental Health Across Cultures ◽

10.1093/med/9780198846833.003.0022 ◽

2021 ◽

pp. 361-382

Author(s):

Simone Hauck ◽

C. Robert Cloninger

Keyword(s):

Adaptive Systems ◽

Character Strengths ◽

Personality Development ◽

Well Being ◽

Self Control ◽

Social Model ◽

Self Awareness ◽

Creative Processes ◽

The field of positive psychology and psychiatry has the goal of helping people to achieve greater happiness, fostering the factors that allow individuals, communities, and societies to thrive. It proposes a hierarchy of positive psychological character strengths, composed of 24 specific human qualities, including spirituality. Spiritually oriented well-being therapies are a promising and much-needed field. The bio-psycho-social model, developed by Cloninger and colleagues, is an empirically based model that considers the importance of spirituality in the human constitution and development, providing a systematic way to promote health as an integrated state, rather than merely the absence of disease or infirmity. Personality development depends on the creative process of integration through three complex adaptive systems of learning and memory, involving associative conditioning of habits, intentional self-control, and creative processes of self-awareness. The physical, mental, and spiritual aspects are interdependent, and must be addressed jointly aiming at a healthy, happy, and good life.

Recreation as a Social-Ecological Complex Adaptive System

Sustainability ◽

10.3390/su12030753 ◽

2020 ◽

Vol 12 (3) ◽

pp. 753 ◽

Cited By ~ 2

Author(s):

Wayde C. Morse

Keyword(s):

Adaptive Systems ◽

Outdoor Recreation ◽

Complex Adaptive System ◽

Structuration Theory ◽

Well Being ◽

Recreation Management ◽

Social Ecological ◽

The Social ◽

The environment and society are both the context for and product of human actions and interactions. Outdoor recreation is the primary interaction many people have with the environment and it is an interaction that greatly contributes to human well-being. To sustainably manage the social and ecological components of outdoor recreation, an integrative and dynamic systems perspective is needed. Analyses that link recreation management and recreational experiences to both social and ecological outcomes across multiple sales and over time are not developed. This article will outline how a number of fragmented recreation management frameworks such as the recreation experience model, beneficial outcomes, the recreation opportunity spectrum, limits of acceptable change, and constraints theory can be organized within a larger social-ecological framework. The outdoor recreation meta-framework presented here links structuration theory from the social sciences with theories of complex adaptive systems and hierarchical patch dynamics from ecology to understand the human and ecological drivers for and responses to outdoor recreation.