A New Program in Pain Medicine for Medical Students: Integrating Core Curriculum Knowledge with Emotional and Reflective Development

Pain Medicine

Volumn 12, Issue 2, 2011, Pages 186-195

  Murinson, Beth B ^a   Nenortas, Elizabeth ^a   Mayer, Roberts Sam ^a   Mezei, Lina ^a   Kozachik, Sharon ^b   Nesbit, Suzanne ^c   Haythornthwaite, Jennifer A ^a   Campbell, James N ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b JOHNS HOPKINS UNIVERSITY SCHOOL OF NURSING   (United States)

^c JOHNS HOPKINS UNIVERSITY   (United States)

Author keywords

Curriculum; Education; Emotion; Medical School; Pain Medicine; Pain Training Programs; Teaching

Indexed keywords

ANALGESIC AGENT; HYPERTENSIVE FACTOR; OPIATE;

ADULT; ARTICLE; BRIEF PAIN INVENTORY; CANCER PAIN; CLINICAL ASSESSMENT; CLINICAL MEDICINE; COMPETENCE; CURRICULUM; EMOTION; EMPATHY; FEEDBACK SYSTEM; FEMALE; FRUSTRATION; GERIATRICS; HUMAN; KNOWLEDGE; MAJOR CLINICAL STUDY; MALE; MEDICAL CARE; MEDICAL EDUCATION; MEDICAL STUDENT; MUSCULOSKELETAL PAIN; PAIN; PEDIATRICS; PUBLICATION; TREATMENT OUTCOME;

EID: 79751520086     PISSN: 15262375     EISSN: 15264637     Source Type: Journal    
DOI: 10.1111/j.1526-4637.2010.01050.x     Document Type: Article

References (36)

1. Bond MR, Dubner R, Jones LE, Meldrum ML. The history of the IASP: Progress in pain since 1975. In: Merskey H, Loeser JD, Dubner R, eds. The Paths of Pain 1975-2005. Seattle, WA: IASP Press; 2005:23-32.
2. Loeser JD. Multidisciplinary pain management. In: Merskey H, Loeser JD, Dubner R, eds. The Paths of Pain 1975-2005. Seattle, WA: IASP Press; 2005:503-11.
3. Gibbins J, McCoubrie R, Maher J, Forbes K. Incorporating palliative care into undergraduate curricula: Lessons for curriculum development. Med Educ 2009;43(8):776-83.
4. Dubois MY, Gallagher RM, Lippe PM. Pain medicine position paper. Pain Med 2009;10(6):972-1000.
5. Pilowsky I. An outline curriculum on pain for medical schools. Pain 1988;33(1):1-2.
6. Turner GH, Weiner DK. Essential components of a medical student curriculum on chronic pain management in older adults: Results of a modified Delphi process. Pain Med 2002;3(3):240-52.
7. Watt-Watson J, Hunter J, Pennefather P, etal. An integrated undergraduate pain curriculum, based on IASP curricula, for six health science faculties. Pain 2004;110(1-2):140-8.
8. Monin JK, Schulz R, Martire LM, etal. Spouses' cardiovascular reactivity to their partners' suffering. J Gerontol B Psychol Sci Soc Sci 2010;65B(2):195-201.
9. Barakat LP, Patterson CA, Daniel LC, Dampier C. Quality of life among adolescents with sickle cell disease: Mediation of pain by internalizing symptoms and parenting stress. Health Qual Life Outcomes 2008;6:60.
10. Bergstrom L, Richards L, Morse JM, Roberts J. How caregivers manage pain and distress in second-stage labor. J Midwifery Womens Health 2010;55(1):38-45.
11. Murinson BB, Agarwal AK, Klick B, Haythornthwaite JA. Underestimation of pain by medical students is associated with negative emotional reactions to pain. J Pain 2007;8(4):S84.
12. Olthuis G, Dekkers W. Medical education, palliative care and moral attitude: Some objectives and future perspectives. Med Educ 2003;37(10):928-33.
13. Hundert EM, Douglas-Steele D, Bickel J. Context in medical education: The informal ethics curriculum. Med Educ 1996;30(5):353-64.
14. Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA 2002;287(2):226-35.
15. Flowers LK. The missing curriculum: Experience with emotional competence education and training for premedical and medical students. J Natl Med Assoc 2005;97(9):1280-7.
16. Goldberg JL. Humanism or professionalism? The White Coat Ceremony and medical education. Acad Med 2008;83(8):715-22.
17. Hojat M, Gonnella JS, Mangione S, etal. Empathy in medical students as related to academic performance, clinical competence and gender. Med Educ 2002;36(6):522-7.
18. Roter DL, Frankel RM, Hall JA, Sluyter D. The expression of emotion through nonverbal behavior in medical visits. Mechanisms and outcomes. J Gen Intern Med 2006;21(suppl 1):S28-34.
19. Dobie S. Viewpoint: Reflections on a well-traveled path: Self-awareness, mindful practice, and relationship-centered care as foundations for medical education. Acad Med 2007;82(4):422-7.
20. Satterfield JM, Hughes E. Emotion skills training for medical students: A systematic review. Med Educ 2007;41(10):935-41.
21. Wright S, Wong A, Newill C. The impact of role models on medical students. J Gen Intern Med 1997;12(1):53-6.
22. Murinson BB, Klick B, Haythornthwaite JA, etal. Formative experiences of emerging physicians: Gauging the impact of events that occur during medical school. Acad Med 2010;85(8):1331-7.
23. Pitkala KH, Mantyranta T. Feelings related to first patient experiences in medical school. A qualitative study on students' personal portfolios. Patient Educ Couns 2004;54(2):171-7.
24. Blasco PG, Moreto G, Levites MR. Teaching humanities through opera: Leading medical students to reflective attitudes. Fam Med 2005;37(1):18-20.
25. Levine RB, Kern DE, Wright SM. The impact of prompted narrative writing during internship on reflective practice: A qualitative study. Adv Health Sci Educ Theory Pract 2008;13(5):723-33.
26. Torppa MA, Makkonen E, Martenson C, Pitkala KH. A qualitative analysis of student Balint groups in medical education: Contexts and triggers of case presentations and discussion themes. Patient Educ Couns 2008;72(1):5-11.
27. Bellini LM, Shea JA. Mood change and empathy decline persist during three years of internal medicine training. Acad Med 2005;80(2):164-7.
28. Murinson BB, Agarwal AK, Haythornthwaite JA. Cognitive expertise, emotional development, and reflective capacity: Clinical skills for improved pain care. J Pain 2008;9(11):975-83.
29. Wiener CM, Thomas PA, Goodspeed E, Valle D, Nichols DG. "Genes to society"-the logic and process of the new curriculum for the Johns Hopkins University School of Medicine. Acad Med 2010;85(3):498-506.
30. Murinson BB. Pain and the humanities: Exploring the meaning of pain in medicine through drama, literature, fine arts and philosophy. MedEdPORTAL 2010. Available at: (accessed July 8, 2010).
31. Kern DE, Thomas PA, Howard DM, Bass EB. Curriculum Development for Medical Education: A Six-Step Approach, 1st edition. Baltimore, MD: Johns Hopkins University Press; 1998.
32. Giordano J. Moral agency in pain medicine: Philosophy, practice and virtue. Pain Physician 2006;9(1):41-6.
33. Sullivan MD, Edlund MJ, Fan MY, etal. Trends in use of opioids for non-cancer pain conditions 2000-2005 in commercial and Medicaid insurance plans: The TROUP study. Pain 2008;138(2):440-9.
34. Chang HM. Educating medical students in pain medicine and palliative care. Pain Med 2002;3(3):194-5.
35. JCAHO. Improving the Quality of Pain Management Through Measurement and Action. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2003.
36. Hunter J, Watt-Watson J, McGillion M, etal. An interfaculty pain curriculum: Lessons learned from six years experience. Pain 2008;140(1):74-86.