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Transformative Learning and Critical Consciousness: A Model for Preclerkship Medical School Substance Use Disorder Education.

Publication ,  Journal Article
Muzyk, A; Mantri, S; Mitchell, P; Velkey, JM; Reisinger, D; Andolsek, K
Published in: Acad Psychiatry
April 2023

OBJECTIVE: Preparing medical students to provide compassionate person-centered care for people with substance use disorders (SUD) requires a re-envisioning of preclerkship SUD education to allow for discussions on stigma, social determinants of health, systemic racism, and healthcare inequities. The authors created a curricular thread that fosters the development of preclerkship medical students' critical consciousness through discussion, personal reflection, and inclusion of lived experiences. METHODS: The authors used transformative learning theories to design and implement this thread in the 2021-2022 academic year in the Duke University School of Medicine preclerkship curriculum. Content included lectures, person-centered workshops, case-based learning, motivational interviewing of a standardized patient, and an opioid overdose simulation. Community advocates and people with SUD and an interdisciplinary faculty were involved in the thread design and delivery and modeled their lived experiences. Students wrote a 500-word critical reflection essay that examined their personal beliefs in the context of providing care for people with SUD. RESULTS: One hundred and twenty-two students submitted essays and 30 (25%) essays were randomly selected for a qualitative analysis. Seven major themes emerged: race/racism, systemic barriers, bias and stigma, personal growth/transformation, language or word usage, future plans for advocacy, and existing poor outcomes. Students were able to link material with prior knowledge and experiences, and their attitudes towards advocacy and goals for future practice were positively influenced. CONCLUSION: By aligning the thread design with the principals of transformative learning, students developed their critical consciousness toward people with SUD and cultivated a holistic understanding of SUD.

Duke Scholars

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Published In

Acad Psychiatry

DOI

EISSN

1545-7230

Publication Date

April 2023

Volume

47

Issue

2

Start / End Page

152 / 158

Location

United States

Related Subject Headings

  • Substance-Related Disorders
  • Students, Medical
  • Schools, Medical
  • Psychiatry
  • Humans
  • Education, Medical
  • Curriculum
  • Consciousness
  • 3901 Curriculum and pedagogy
  • 1302 Curriculum and Pedagogy
 

Citation

APA
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Muzyk, A., Mantri, S., Mitchell, P., Velkey, J. M., Reisinger, D., & Andolsek, K. (2023). Transformative Learning and Critical Consciousness: A Model for Preclerkship Medical School Substance Use Disorder Education. Acad Psychiatry, 47(2), 152–158. https://doi.org/10.1007/s40596-022-01737-7
Muzyk, Andrew, Sneha Mantri, Phillip Mitchell, J Matthew Velkey, Deborah Reisinger, and Kathryn Andolsek. “Transformative Learning and Critical Consciousness: A Model for Preclerkship Medical School Substance Use Disorder Education.Acad Psychiatry 47, no. 2 (April 2023): 152–58. https://doi.org/10.1007/s40596-022-01737-7.
Muzyk A, Mantri S, Mitchell P, Velkey JM, Reisinger D, Andolsek K. Transformative Learning and Critical Consciousness: A Model for Preclerkship Medical School Substance Use Disorder Education. Acad Psychiatry. 2023 Apr;47(2):152–8.
Muzyk, Andrew, et al. “Transformative Learning and Critical Consciousness: A Model for Preclerkship Medical School Substance Use Disorder Education.Acad Psychiatry, vol. 47, no. 2, Apr. 2023, pp. 152–58. Pubmed, doi:10.1007/s40596-022-01737-7.
Muzyk A, Mantri S, Mitchell P, Velkey JM, Reisinger D, Andolsek K. Transformative Learning and Critical Consciousness: A Model for Preclerkship Medical School Substance Use Disorder Education. Acad Psychiatry. 2023 Apr;47(2):152–158.
Journal cover image

Published In

Acad Psychiatry

DOI

EISSN

1545-7230

Publication Date

April 2023

Volume

47

Issue

2

Start / End Page

152 / 158

Location

United States

Related Subject Headings

  • Substance-Related Disorders
  • Students, Medical
  • Schools, Medical
  • Psychiatry
  • Humans
  • Education, Medical
  • Curriculum
  • Consciousness
  • 3901 Curriculum and pedagogy
  • 1302 Curriculum and Pedagogy