The authors are aware of no conflicts of interest.
Teaching Personal Awareness
Article first published online: 11 MAR 2005
Journal of General Internal Medicine
Volume 20, Issue 2, pages 201–207, February 2005
How to Cite
Smith, R. C., Dwamena, F. C. and Fortin, A. H. (2005), Teaching Personal Awareness. Journal of General Internal Medicine, 20: 201–207. doi: 10.1111/j.1525-1497.2005.40212.x
- Issue published online: 1 APR 2005
- Article first published online: 11 MAR 2005
- Accepted for publication July 1, 2004
- provider-patient relationship;
- medical education
Educators rarely consider the attitudes that determine whether a learner will use the clinical skills we teach. Nevertheless, many learners and practitioners exhibit negative attitudes that can impede the use of patient-centered skills, leading to an isolated focus upon disease and impairing the provider-patient relationship. The problem is compounded because these attitudes often are incompletely recognized by learners and therefore are difficult to change without help.
We present a research-based method for teaching personal awareness of unrecognized and often harmful attitudes. We propose that primary care clinicians without mental health training can follow this method to teach students, residents, faculty, and practitioners. Such teachers/mentors need to possess an abiding interest in the personal dimension, patience with a slowly evolving process of awareness, and the ability to establish strong, ongoing relationships with learners. Personal awareness teaching may occur during instruction in basic interviewing skills but works best if systematically incorporated throughout training.