Publications by authors named "Mary Lynn Fecile"

Introduction: Research suggests that students become less patient-centered and empathetic in response to both internal and external factors, including the organizational culture, or hidden curriculum, of medical school. Students often feel compelled to make compromises when they experience tension between competing values in clinical teaching environments. To address this, we implemented a modular, longitudinal professionalism curriculum for third-year medical students, based on a conceptual model that highlights a student's ideal, as well as the internal and environmental forces that can either sustain or change their ideal over time.

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Patient-centered cancer care has become a priority in the oncology field. Increasing efforts to train oncologists in communication skills have led to a growing literature on patient-centered cancer education. In addition, systems approaches have led to an increased emphasis on the concept of teams as an organizing framework for cancer care.

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Objective: Studies of physicians' professional development highlight the important effect that the learning environment has in shaping student attitudes, behaviors, and values. The objective of this study was to better understand the interplay among relationships and experiences in mediating the effects of the learning environment.

Methods: We randomly recruited 2nd- and 4th-year students from among volunteers at each of five medical schools.

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Team-based learning (TBL) is an innovative teaching method, originally pioneered in business education, which has been increasingly used in medical settings. TBL allows a single teacher to incorporate small groups into a lecture hall or classroom and simultaneously conduct activities with all of the groups. Its focus on application of basic knowledge to solve complex real-world problems is ideally suited for basic science and clinical teaching.

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